Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.83 / $2,765.39 / $14,482.00	Facility		$1,235.83	$2,765.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.83 / $1,279.86 / $4,695.78	Professional		$1,235.83	$1,279.86	$4,695.78
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 $1,298.57 / $3,679.12 / $10,026.62	Professional		$1,298.57	$3,679.12	$10,026.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,470.21 / $4,055.22 / $6,540.92	Facility		$3,470.21	$4,055.22	$6,540.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,458.12 / $5,197.13 / $5,905.83	Professional		$2,458.12	$5,197.13	$5,905.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,235.83 / $1,584.64 / $2,642.48	Facility		$1,235.83	$1,584.64	$2,642.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,351.97 / $2,642.48 / $7,700.00	Facility		$1,351.97	$2,642.48	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,559.65 / $3,672.98 / $9,981.87	Professional		$1,559.65	$3,672.98	$9,981.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $906.49 / $2,900.24	Professional		$132.78	$906.49	$2,900.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,235.83 / $1,612.48 / $2,642.48	Facility		$1,235.83	$1,612.48	$2,642.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,873.65 / $4,421.00 / $5,872.05	Professional		$2,873.65	$4,421.00	$5,872.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,995.24 / $19,995.24 / $19,995.24	Facility		$19,995.24	$19,995.24	$19,995.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,611.01 / $6,468.80 / $10,240.71	Professional		$2,611.01	$6,468.80	$10,240.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,645.27 / $4,645.27 / $4,645.27	Professional		$4,645.27	$4,645.27	$4,645.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,514.34 / $7,782.27 / $7,782.27	Professional		$4,514.34	$7,782.27	$7,782.27
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 $1,531.41 / $3,982.38 / $6,538.15	Professional		$1,531.41	$3,982.38	$6,538.15