Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,612.40 / $3,604.21 / $14,482.00	Facility		$1,612.40	$3,604.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.19 / $1,646.08 / $5,137.99	Professional		$1,563.19	$1,646.08	$5,137.99
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 $1,704.94 / $4,544.72 / $13,077.72	Professional		$1,704.94	$4,544.72	$13,077.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,523.62 / $5,286.21 / $8,526.46	Facility		$4,523.62	$5,286.21	$8,526.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,203.73 / $6,778.63 / $7,702.99	Professional		$3,203.73	$6,778.63	$7,702.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,612.40 / $2,386.92 / $3,532.50	Facility		$1,612.40	$2,386.92	$3,532.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,364.00 / $7,700.00	Facility		$1,716.00	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,964.95 / $4,212.85 / $13,001.53	Professional		$1,964.95	$4,212.85	$13,001.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $1,187.90 / $3,818.19	Professional		$159.57	$1,187.90	$3,818.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,612.40 / $2,386.92 / $3,532.50	Facility		$1,612.40	$2,386.92	$3,532.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,749.20 / $5,768.00 / $7,616.20	Professional		$3,749.20	$5,768.00	$7,616.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,107.32 / $26,107.32 / $26,107.32	Facility		$26,107.32	$26,107.32	$26,107.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,405.54 / $8,425.70 / $15,979.56	Professional		$3,405.54	$8,425.70	$15,979.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,064.69 / $6,064.69 / $6,064.69	Professional		$6,064.69	$6,064.69	$6,064.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,883.67 / $10,150.39 / $10,150.39	Professional		$5,883.67	$10,150.39	$10,150.39
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 $1,957.50 / $4,168.54 / $8,516.02	Professional		$1,957.50	$4,168.54	$8,516.02