Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.65 / $3,239.82 / $14,482.00	Facility		$1,739.65	$3,239.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.14 / $1,739.65 / $4,687.12	Professional		$1,479.14	$1,739.65	$4,687.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,525.77 / $3,568.51 / $9,192.26	Professional		$1,525.77	$3,568.51	$9,192.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,056.84 / $4,740.74 / $7,272.42	Facility		$4,056.84	$4,740.74	$7,272.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.17 / $4,264.20 / $6,473.46	Professional		$1,811.17	$4,264.20	$6,473.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,562.80 / $2,035.39 / $3,401.00	Facility		$1,562.80	$2,035.39	$3,401.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,562.80 / $2,411.23 / $4,821.00	Facility		$1,562.80	$2,411.23	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,682.91 / $4,142.68 / $13,253.41	Professional		$1,682.91	$4,142.68	$13,253.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $1,110.33 / $3,404.83	Professional		$125.44	$1,110.33	$3,404.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,550.33 / $2,035.39 / $3,401.00	Facility		$1,550.33	$2,035.39	$3,401.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,991.00 / $3,989.00 / $6,548.89	Professional		$2,991.00	$3,989.00	$6,548.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,882.07 / $22,850.64 / $22,850.64	Facility		$1,882.07	$22,850.64	$22,850.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,748.44 / $7,637.80 / $13,253.41	Professional		$2,748.44	$7,637.80	$13,253.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,796.17 / $5,796.17 / $5,796.17	Professional		$5,796.17	$5,796.17	$5,796.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,694.86 / $7,904.11 / $7,904.11	Professional		$3,694.86	$7,904.11	$7,904.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,635.22 / $3,345.36 / $7,913.83	Professional		$1,635.22	$3,345.36	$7,913.83