Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.69 / $3,617.89 / $14,482.00	Facility		$1,619.69	$3,617.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.69 / $1,664.99 / $5,499.81	Professional		$1,619.69	$1,664.99	$5,499.81
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 $1,723.19 / $4,590.21 / $13,128.53	Professional		$1,723.19	$4,590.21	$13,128.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,534.43 / $5,298.85 / $8,546.85	Facility		$4,534.43	$5,298.85	$8,546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,215.91 / $6,804.96 / $7,732.91	Professional		$3,215.91	$6,804.96	$7,732.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,619.69 / $2,412.46 / $3,524.86	Facility		$1,619.69	$2,412.46	$3,524.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,803.00 / $7,700.00	Facility		$1,716.00	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.14 / $4,813.46 / $13,123.51	Professional		$2,041.14	$4,813.46	$13,123.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,203.26 / $3,886.27	Professional		$169.65	$1,203.26	$3,886.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,619.69 / $2,412.46 / $3,524.86	Facility		$1,619.69	$2,412.46	$3,524.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,775.20 / $5,808.00 / $7,703.43	Professional		$3,775.20	$5,808.00	$7,703.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,260.32 / $26,260.32 / $26,260.32	Facility		$26,260.32	$26,260.32	$26,260.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,418.77 / $8,504.75 / $13,439.44	Professional		$3,418.77	$8,504.75	$13,439.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,096.25 / $6,096.25 / $6,096.25	Professional		$6,096.25	$6,096.25	$6,096.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,906.00 / $10,189.78 / $10,189.78	Professional		$5,906.00	$10,189.78	$10,189.78
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 $2,002.94 / $5,233.16 / $8,595.92	Professional		$2,002.94	$5,233.16	$8,595.92