Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.04 / $2,617.58 / $14,482.00	Facility		$1,169.04	$2,617.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.04 / $1,209.76 / $4,415.82	Professional		$1,169.04	$1,209.76	$4,415.82
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 $1,223.00 / $3,454.89 / $9,329.61	Professional		$1,223.00	$3,454.89	$9,329.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,286.38 / $3,840.40 / $6,194.43	Facility		$3,286.38	$3,840.40	$6,194.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,402.27 / $4,919.43 / $5,590.28	Professional		$2,402.27	$4,919.43	$5,590.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,169.04 / $1,494.65 / $2,501.25	Facility		$1,169.04	$1,494.65	$2,501.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,279.71 / $2,501.25 / $7,700.00	Facility		$1,279.71	$2,501.25	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,469.93 / $3,401.18 / $9,411.09	Professional		$1,469.93	$3,401.18	$9,411.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,116.79 / $2,925.71	Professional		$137.33	$1,116.79	$2,925.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,169.04 / $1,494.65 / $2,501.25	Facility		$1,169.04	$1,494.65	$2,501.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,717.00 / $4,180.00 / $5,519.62	Professional		$2,717.00	$4,180.00	$5,519.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,215.04 / $25,215.04 / $25,215.04	Facility		$25,215.04	$25,215.04	$25,215.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,471.48 / $6,098.90 / $9,687.12	Professional		$2,471.48	$6,098.90	$9,687.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,394.85 / $4,394.85 / $4,394.85	Professional		$4,394.85	$4,394.85	$4,394.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,177.41 / $7,366.37 / $7,366.37	Professional		$4,177.41	$7,366.37	$7,366.37
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 $1,446.50 / $4,098.46 / $6,164.28	Professional		$1,446.50	$4,098.46	$6,164.28