Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.64 / $3,095.66 / $14,482.00	Facility		$1,470.64	$3,095.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,415.83 / $1,530.82 / $6,992.33	Professional		$1,415.83	$1,530.82	$6,992.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,466.77 / $3,393.78 / $8,662.73	Professional		$1,466.77	$3,393.78	$8,662.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.64 / $4,551.20 / $6,981.65	Facility		$3,894.64	$4,551.20	$6,981.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,907.99 / $5,996.80 / $6,814.55	Professional		$1,907.99	$5,996.80	$6,814.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,375.85 / $1,720.65 / $3,117.76	Facility		$1,375.85	$1,720.65	$3,117.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,375.85 / $2,486.57 / $14,246.00	Facility		$1,375.85	$2,486.57	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,365.40 / $2,925.66 / $11,249.60	Professional		$1,365.40	$2,925.66	$11,249.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $922.38 / $2,936.17	Professional		$126.60	$922.38	$2,936.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,375.85 / $1,720.65 / $3,117.76	Facility		$1,375.85	$1,720.65	$3,117.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,023.15 / $3,683.59 / $5,498.88	Professional		$3,023.15	$3,683.59	$5,498.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,928.79 / $8,928.79 / $8,928.79	Facility		$8,928.79	$8,928.79	$8,928.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,805.64 / $7,314.15 / $11,249.60	Professional		$2,805.64	$7,314.15	$11,249.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,871.60 / $4,871.60 / $4,871.60	Professional		$4,871.60	$4,871.60	$4,871.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,310.39 / $7,503.88 / $9,543.60	Professional		$4,310.39	$7,503.88	$9,543.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,504.44 / $2,843.37 / $6,655.88	Professional		$1,504.44	$2,843.37	$6,655.88