Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.37 / $2,598.75 / $14,482.00	Facility		$1,610.37	$2,598.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.33 / $1,610.37 / $5,335.67	Professional		$1,047.33	$1,610.37	$5,335.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.19 / $3,144.52 / $8,200.42	Professional		$1,482.19	$3,144.52	$8,200.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,232.32 / $3,777.22 / $6,092.52	Facility		$3,232.32	$3,777.22	$6,092.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.48 / $3,913.49 / $5,189.53	Professional		$2,194.48	$3,913.49	$5,189.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,270.50 / $2,018.60 / $2,508.84	Facility		$1,270.50	$2,018.60	$2,508.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,461.85 / $2,803.00 / $7,868.00	Facility		$1,461.85	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.28 / $4,545.66 / $7,525.73	Professional		$1,659.28	$4,545.66	$7,525.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,057.91 / $3,217.07	Professional		$85.00	$2,057.91	$3,217.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,270.50 / $2,018.60 / $2,508.84	Facility		$1,270.50	$2,018.60	$2,508.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,601.94 / $4,017.81 / $5,261.50	Professional		$2,601.94	$4,017.81	$5,261.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,499.36 / $24,499.36 / $24,499.36	Facility		$24,499.36	$24,499.36	$24,499.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,246.48 / $6,381.85 / $9,631.68	Professional		$2,246.48	$6,381.85	$9,631.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,635.34 / $6,635.34 / $6,635.34	Professional		$6,635.34	$6,635.34	$6,635.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,769.46 / $8,769.46 / $8,769.46	Professional		$8,769.46	$8,769.46	$8,769.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.03 / $4,149.10 / $6,532.36	Professional		$1,543.03	$4,149.10	$6,532.36