Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.15 / $3,060.41 / $14,482.00	Facility		$1,369.15	$3,060.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.15 / $1,404.03 / $5,153.91	Professional		$1,369.15	$1,404.03	$5,153.91
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 $1,444.51 / $4,032.17 / $11,103.63	Professional		$1,444.51	$4,032.17	$11,103.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,842.38 / $4,490.12 / $7,242.40	Facility		$3,842.38	$4,490.12	$7,242.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,720.36 / $5,755.39 / $6,540.21	Professional		$2,720.36	$5,755.39	$6,540.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,369.15 / $2,022.31 / $3,454.00	Facility		$1,369.15	$2,022.31	$3,454.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,496.20 / $2,924.39 / $7,700.00	Facility		$1,496.20	$2,924.39	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,722.78 / $3,791.97 / $11,022.61	Professional		$1,722.78	$3,791.97	$11,022.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $1,009.47 / $3,196.32	Professional		$132.78	$1,009.47	$3,196.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,369.15 / $2,082.31 / $3,454.00	Facility		$1,369.15	$2,082.31	$3,454.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,182.40 / $4,896.00 / $6,447.96	Professional		$3,182.40	$4,896.00	$6,447.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,154.28 / $22,154.28 / $22,154.28	Facility		$22,154.28	$22,154.28	$22,154.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,891.47 / $7,143.25 / $12,683.78	Professional		$2,891.47	$7,143.25	$12,683.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,151.58 / $5,151.58 / $5,151.58	Professional		$5,151.58	$5,151.58	$5,151.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,995.93 / $8,618.15 / $8,618.15	Professional		$4,995.93	$8,618.15	$8,618.15
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 $1,583.68 / $4,800.26 / $7,900.29	Professional		$1,583.68	$4,800.26	$7,900.29