Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.51 / $3,252.04 / $14,482.00	Facility		$1,452.51	$3,252.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.52 / $1,452.51 / $4,310.68	Professional		$1,426.52	$1,452.51	$4,310.68
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 $1,523.44 / $4,084.96 / $11,107.73	Professional		$1,523.44	$4,084.96	$11,107.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,088.38 / $4,777.60 / $7,706.09	Facility		$4,088.38	$4,777.60	$7,706.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,890.69 / $6,113.43 / $6,947.08	Professional		$2,890.69	$6,113.43	$6,947.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,452.51 / $2,132.82 / $3,465.00	Facility		$1,452.51	$2,132.82	$3,465.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,589.89 / $3,107.50 / $7,700.00	Facility		$1,589.89	$3,107.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,648.57 / $4,120.18 / $11,639.53	Professional		$1,648.57	$4,120.18	$11,639.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $1,070.00 / $3,423.82	Professional		$159.57	$1,070.00	$3,423.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,452.51 / $2,132.82 / $3,465.00	Facility		$1,452.51	$2,132.82	$3,465.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,368.95 / $5,183.00 / $6,796.96	Professional		$3,368.95	$5,183.00	$6,796.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,473.44 / $23,473.44 / $23,473.44	Facility		$23,473.44	$23,473.44	$23,473.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,071.35 / $7,543.05 / $12,026.40	Professional		$3,071.35	$7,543.05	$12,026.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,460.22 / $5,460.22 / $5,460.22	Professional		$5,460.22	$5,460.22	$5,460.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,602.28 / $9,154.29 / $9,154.29	Professional		$4,602.28	$9,154.29	$9,154.29
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 $1,676.52 / $4,120.18 / $7,354.13	Professional		$1,676.52	$4,120.18	$7,354.13