Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.74 / $2,814.14 / $14,482.00	Facility		$1,267.74	$2,814.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.74 / $1,344.30 / $4,839.91	Professional		$1,267.74	$1,344.30	$4,839.91
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 $1,332.63 / $3,748.73 / $10,250.25	Professional		$1,332.63	$3,748.73	$10,250.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,549.51 / $4,147.89 / $6,690.39	Facility		$3,549.51	$4,147.89	$6,690.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,501.46 / $5,313.06 / $6,037.56	Professional		$2,501.46	$5,313.06	$6,037.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,267.74 / $1,840.63 / $2,835.00	Facility		$1,267.74	$1,840.63	$2,835.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,375.80 / $2,803.00 / $7,700.00	Facility		$1,375.80	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,580.99 / $3,877.77 / $10,164.95	Professional		$1,580.99	$3,877.77	$10,164.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $909.95 / $2,879.04	Professional		$132.78	$909.95	$2,879.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,267.74 / $1,840.63 / $2,835.00	Facility		$1,267.74	$1,840.63	$2,835.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,813.85 / $4,329.00 / $5,964.31	Professional		$2,813.85	$4,329.00	$5,964.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,953.36 / $19,953.36 / $19,953.36	Facility		$19,953.36	$19,953.36	$19,953.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,669.25 / $6,587.45 / $16,192.37	Professional		$2,669.25	$6,587.45	$16,192.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,752.28 / $4,752.28 / $4,752.28	Professional		$4,752.28	$4,752.28	$4,752.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,593.93 / $7,955.83 / $7,955.83	Professional		$4,593.93	$7,955.83	$7,955.83
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 $1,580.99 / $4,395.60 / $6,658.07	Professional		$1,580.99	$4,395.60	$6,658.07