Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.33 / $2,927.97 / $14,482.00	Facility		$1,309.33	$2,927.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.33 / $1,352.87 / $4,950.37	Professional		$1,309.33	$1,352.87	$4,950.37
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 $1,377.37 / $3,875.44 / $10,619.81	Professional		$1,377.37	$3,875.44	$10,619.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,673.87 / $4,293.20 / $6,924.78	Facility		$3,673.87	$4,293.20	$6,924.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,602.64 / $5,504.62 / $6,255.25	Professional		$2,602.64	$5,504.62	$6,255.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,309.33 / $1,928.32 / $3,155.70	Facility		$1,309.33	$1,928.32	$3,155.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,431.45 / $2,803.00 / $7,700.00	Facility		$1,431.45	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,651.44 / $3,878.47 / $10,564.70	Professional		$1,651.44	$3,878.47	$10,564.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $982.92 / $3,127.07	Professional		$132.78	$982.92	$3,127.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,309.33 / $1,991.73 / $3,155.70	Facility		$1,309.33	$1,991.73	$3,155.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,045.25 / $4,685.00 / $6,178.52	Professional		$3,045.25	$4,685.00	$6,178.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,193.08 / $21,193.08 / $21,193.08	Facility		$21,193.08	$21,193.08	$21,193.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,765.48 / $6,846.50 / $13,781.76	Professional		$2,765.48	$6,846.50	$13,781.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,923.85 / $4,923.85 / $4,923.85	Professional		$4,923.85	$4,923.85	$4,923.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,779.75 / $8,242.66 / $8,242.66	Professional		$4,779.75	$8,242.66	$8,242.66
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 $1,618.64 / $4,182.93 / $6,713.49	Professional		$1,618.64	$4,182.93	$6,713.49