Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.84 / $2,864.61 / $14,482.00	Facility		$1,279.84	$2,864.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.99 / $1,279.84 / $3,642.47	Professional		$1,166.99	$1,279.84	$3,642.47
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 $1,346.17 / $3,601.35 / $9,826.19	Professional		$1,346.17	$3,601.35	$9,826.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,597.27 / $4,203.70 / $6,780.41	Facility		$3,597.27	$4,203.70	$6,780.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,546.31 / $5,383.72 / $6,117.86	Professional		$2,546.31	$5,383.72	$6,117.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,279.84 / $1,884.64 / $2,799.17	Facility		$1,279.84	$1,884.64	$2,799.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,400.48 / $2,737.29 / $7,700.00	Facility		$1,400.48	$2,737.29	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,418.24 / $3,329.68 / $10,275.91	Professional		$1,418.24	$3,329.68	$10,275.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $953.29 / $3,038.94	Professional		$132.78	$953.29	$3,038.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,279.84 / $1,944.69 / $2,799.17	Facility		$1,279.84	$1,944.69	$2,799.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,970.50 / $4,570.00 / $6,013.48	Professional		$2,970.50	$4,570.00	$6,013.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,682.59 / $20,682.59 / $20,682.59	Facility		$20,682.59	$20,682.59	$20,682.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,704.74 / $6,659.35 / $10,601.75	Professional		$2,704.74	$6,659.35	$10,601.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,812.74 / $4,812.74 / $4,812.74	Professional		$4,812.74	$4,812.74	$4,812.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,082.52 / $8,061.59 / $8,061.59	Professional		$4,082.52	$8,061.59	$8,061.59
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 $1,418.24 / $3,729.98 / $6,730.74	Professional		$1,418.24	$3,729.98	$6,730.74