Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.69 / $3,577.77 / $14,482.00	Facility		$1,601.69	$3,577.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,601.69 / $1,649.80 / $6,046.57	Professional		$1,601.69	$1,649.80	$6,046.57
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 $1,689.08 / $4,731.17 / $12,986.23	Professional		$1,689.08	$4,731.17	$12,986.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,490.28 / $5,247.25 / $8,463.62	Facility		$4,490.28	$5,247.25	$8,463.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,180.24 / $6,731.23 / $7,649.13	Professional		$3,180.24	$6,731.23	$7,649.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,601.69 / $2,364.53 / $3,762.98	Facility		$1,601.69	$2,364.53	$3,762.98
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 $2,021.53 / $4,716.09 / $12,925.92	Professional		$2,021.53	$4,716.09	$12,925.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $1,183.61 / $3,815.76	Professional		$159.57	$1,183.61	$3,815.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,601.69 / $2,390.85 / $3,762.98	Facility		$1,601.69	$2,390.85	$3,762.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,724.50 / $5,730.00 / $7,570.00	Professional		$3,724.50	$5,730.00	$7,570.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,937.76 / $25,937.76 / $25,937.76	Facility		$25,937.76	$25,937.76	$25,937.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,381.72 / $8,376.70 / $15,830.79	Professional		$3,381.72	$8,376.70	$15,830.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,026.45 / $6,026.45 / $6,026.45	Professional		$6,026.45	$6,026.45	$6,026.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,840.51 / $10,079.37 / $10,079.37	Professional		$5,840.51	$10,079.37	$10,079.37
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 $2,010.41 / $5,147.39 / $8,466.50	Professional		$2,010.41	$5,147.39	$8,466.50