Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,337.98 / $2,989.03 / $14,482.00	Facility		$1,337.98	$2,989.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,337.98 / $1,391.23 / $5,065.02	Professional		$1,337.98	$1,391.23	$5,065.02
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 $1,415.79 / $3,777.84 / $10,845.41	Professional		$1,415.79	$3,777.84	$10,845.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,748.66 / $4,380.60 / $7,065.76	Facility		$3,748.66	$4,380.60	$7,065.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,656.91 / $5,621.54 / $6,388.11	Professional		$2,656.91	$5,621.54	$6,388.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,337.98 / $1,785.00 / $2,856.19	Facility		$1,337.98	$1,785.00	$2,856.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,461.31 / $2,803.00 / $7,700.00	Facility		$1,461.31	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,691.41 / $3,973.14 / $10,813.44	Professional		$1,691.41	$3,973.14	$10,813.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $982.92 / $3,141.85	Professional		$132.78	$982.92	$3,141.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,337.98 / $1,785.00 / $2,856.19	Facility		$1,337.98	$1,785.00	$2,856.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,113.50 / $4,790.00 / $6,341.76	Professional		$3,113.50	$4,790.00	$6,341.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,664.80 / $21,664.80 / $21,664.80	Facility		$21,664.80	$21,664.80	$21,664.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,824.23 / $7,007.70 / $11,091.60	Professional		$2,824.23	$7,007.70	$11,091.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,035.21 / $5,035.21 / $5,035.21	Professional		$5,035.21	$5,035.21	$5,035.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,879.43 / $8,417.74 / $8,417.74	Professional		$4,879.43	$8,417.74	$8,417.74
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 $1,691.41 / $4,709.17 / $7,082.82	Professional		$1,691.41	$4,709.17	$7,082.82