Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.16 / $3,826.67 / $14,482.00	Facility		$1,713.16	$3,826.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.16 / $1,818.35 / $6,503.99	Professional		$1,713.16	$1,818.35	$6,503.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,815.60 / $5,090.89 / $13,886.13	Professional		$1,815.60	$5,090.89	$13,886.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,798.46 / $5,607.38 / $9,044.51	Facility		$4,798.46	$5,607.38	$9,044.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,401.48 / $7,197.66 / $8,179.16	Professional		$3,401.48	$7,197.66	$8,179.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,713.16 / $2,541.84 / $3,730.23	Facility		$1,713.16	$2,541.84	$3,730.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,759.24 / $3,364.00 / $7,700.00	Facility		$1,759.24	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,170.32 / $5,088.13 / $13,872.60	Professional		$2,170.32	$5,088.13	$13,872.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,277.12 / $4,079.25	Professional		$174.52	$1,277.12	$4,079.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,713.16 / $2,608.50 / $3,730.23	Facility		$1,713.16	$2,608.50	$3,730.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,988.40 / $6,136.00 / $8,144.45	Professional		$3,988.40	$6,136.00	$8,144.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,751.92 / $27,751.92 / $27,751.92	Facility		$27,751.92	$27,751.92	$27,751.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,616.06 / $8,990.20 / $14,205.92	Professional		$3,616.06	$8,990.20	$14,205.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,449.41 / $6,449.41 / $6,449.41	Professional		$6,449.41	$6,449.41	$6,449.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,246.82 / $10,777.80 / $10,777.80	Professional		$6,246.82	$10,777.80	$10,777.80
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 $2,052.06 / $5,532.02 / $9,086.57	Professional		$2,052.06	$5,532.02	$9,086.57