Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.89 / $3,193.81 / $14,482.00	Facility		$1,716.89	$3,193.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,458.95 / $1,716.89 / $4,032.11	Professional		$1,458.95	$1,716.89	$4,032.11
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 $1,531.84 / $3,521.82 / $9,081.54	Professional		$1,531.84	$3,521.82	$9,081.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,998.27 / $4,672.29 / $7,167.42	Facility		$3,998.27	$4,672.29	$7,167.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,804.64 / $5,337.79 / $6,384.56	Professional		$1,804.64	$5,337.79	$6,384.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,560.92 / $2,016.41 / $3,373.26	Facility		$1,560.92	$2,016.41	$3,373.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,560.06 / $2,276.50 / $5,252.97	Facility		$1,560.06	$2,276.50	$5,252.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,682.53 / $3,752.57 / $11,765.92	Professional		$1,682.53	$3,752.57	$11,765.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $1,087.67 / $3,349.18	Professional		$117.62	$1,087.67	$3,349.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,547.03 / $2,008.76 / $3,373.26	Facility		$1,547.03	$2,008.76	$3,373.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.40 / $3,936.18 / $6,458.95	Professional		$2,951.40	$3,936.18	$6,458.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,859.53 / $16,912.25 / $16,912.25	Facility		$1,859.53	$16,912.25	$16,912.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,757.29 / $7,666.35 / $11,765.92	Professional		$2,757.29	$7,666.35	$11,765.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,726.34 / $5,726.34 / $5,726.34	Professional		$5,726.34	$5,726.34	$5,726.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,159.77 / $7,795.57 / $7,795.57	Professional		$5,159.77	$7,795.57	$7,795.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,573.77 / $3,172.70 / $7,288.68	Professional		$1,573.77	$3,172.70	$7,288.68