Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.36 / $2,448.42 / $14,482.00	Facility		$1,094.36	$2,448.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.36 / $1,121.84 / $4,127.81	Professional		$1,094.36	$1,121.84	$4,127.81
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 $1,145.82 / $3,230.82 / $8,881.40	Professional		$1,145.82	$3,230.82	$8,881.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,075.52 / $3,593.99 / $5,796.98	Facility		$3,075.52	$3,593.99	$5,796.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,176.38 / $4,603.54 / $5,231.30	Professional		$2,176.38	$4,603.54	$5,231.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,094.36 / $1,603.98 / $2,391.21	Facility		$1,094.36	$1,603.98	$2,391.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,197.01 / $2,553.00 / $7,700.00	Facility		$1,197.01	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,375.25 / $3,096.68 / $8,804.51	Professional		$1,375.25	$3,096.68	$8,804.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,033.69 / $2,682.39	Professional		$137.33	$1,033.69	$2,682.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,094.36 / $1,663.43 / $2,391.21	Facility		$1,094.36	$1,663.43	$2,391.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,542.15 / $3,911.00 / $5,160.68	Professional		$2,542.15	$3,911.00	$5,160.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,752.30 / $14,752.30 / $14,752.30	Facility		$14,752.30	$14,752.30	$14,752.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,312.79 / $5,705.80 / $9,895.07	Professional		$2,312.79	$5,705.80	$9,895.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,114.60 / $4,114.60 / $4,114.60	Professional		$4,114.60	$4,114.60	$4,114.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,868.55 / $6,893.38 / $6,893.38	Professional		$3,868.55	$6,893.38	$6,893.38
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 $1,375.25 / $3,994.06 / $5,562.95	Professional		$1,375.25	$3,994.06	$5,562.95