Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,701.97 / $3,801.98 / $14,482.00	Facility		$1,701.97	$3,801.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.97 / $1,768.16 / $6,432.47	Professional		$1,701.97	$1,768.16	$6,432.47
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 $1,788.51 / $5,037.28 / $13,796.81	Professional		$1,788.51	$5,037.28	$13,796.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,767.83 / $5,571.58 / $8,986.76	Facility		$4,767.83	$5,571.58	$8,986.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,379.53 / $7,151.38 / $8,126.56	Professional		$3,379.53	$7,151.38	$8,126.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,701.97 / $2,503.91 / $3,706.41	Facility		$1,701.97	$2,503.91	$3,706.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,747.54 / $3,364.00 / $7,700.00	Facility		$1,747.54	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,152.01 / $5,116.97 / $13,754.01	Professional		$2,152.01	$5,116.97	$13,754.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,277.12 / $4,040.08	Professional		$174.52	$1,277.12	$4,040.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,701.97 / $2,503.91 / $3,706.41	Facility		$1,701.97	$2,503.91	$3,706.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,961.75 / $6,095.00 / $8,056.68	Professional		$3,961.75	$6,095.00	$8,056.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,571.20 / $27,571.20 / $27,571.20	Facility		$27,571.20	$27,571.20	$27,571.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,592.80 / $8,913.35 / $15,830.79	Professional		$3,592.80	$8,913.35	$15,830.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,406.07 / $6,406.07 / $6,406.07	Professional		$6,406.07	$6,406.07	$6,406.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,206.53 / $10,708.47 / $10,708.47	Professional		$6,206.53	$10,708.47	$10,708.47
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 $2,118.91 / $5,989.77 / $8,783.12	Professional		$2,118.91	$5,989.77	$8,783.12