Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.54 / $3,169.24 / $14,482.00	Facility		$1,417.54	$3,169.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,417.54 / $1,461.65 / $5,338.88	Professional		$1,417.54	$1,461.65	$5,338.88
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 $1,483.21 / $4,177.27 / $11,496.25	Professional		$1,483.21	$4,177.27	$11,496.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,979.35 / $4,650.18 / $7,500.58	Facility		$3,979.35	$4,650.18	$7,500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,817.11 / $5,958.92 / $6,771.50	Professional		$2,817.11	$5,958.92	$6,771.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,417.54 / $2,076.48 / $3,140.00	Facility		$1,417.54	$2,076.48	$3,140.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,549.41 / $3,028.38 / $7,700.00	Facility		$1,549.41	$3,028.38	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,782.48 / $4,145.85 / $11,407.60	Professional		$1,782.48	$4,145.85	$11,407.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,331.17 / $3,555.64	Professional		$169.65	$1,331.17	$3,555.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,417.54 / $2,076.48 / $3,140.00	Facility		$1,417.54	$2,076.48	$3,140.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,292.25 / $5,065.00 / $6,677.98	Professional		$3,292.25	$5,065.00	$6,677.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,927.56 / $22,927.56 / $22,927.56	Facility		$22,927.56	$22,927.56	$22,927.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,993.71 / $7,392.75 / $13,695.91	Professional		$2,993.71	$7,392.75	$13,695.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,331.47 / $5,331.47 / $5,331.47	Professional		$5,331.47	$5,331.47	$5,331.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,173.60 / $8,922.87 / $8,922.87	Professional		$5,173.60	$8,922.87	$8,922.87
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 $1,774.26 / $4,541.99 / $7,472.00	Professional		$1,774.26	$4,541.99	$7,472.00