Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.72 / $3,740.45 / $14,482.00	Facility		$1,676.72	$3,740.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,676.72 / $1,721.48 / $5,320.59	Professional		$1,676.72	$1,721.48	$5,320.59
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 $1,779.17 / $4,735.46 / $13,579.63	Professional		$1,779.17	$4,735.46	$13,579.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,689.43 / $5,479.97 / $8,838.99	Facility		$4,689.43	$5,479.97	$8,838.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,324.83 / $7,038.80 / $7,998.64	Professional		$3,324.83	$7,038.80	$7,998.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,676.72 / $2,490.84 / $4,170.79	Facility		$1,676.72	$2,490.84	$4,170.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,721.48 / $3,364.00 / $7,700.00	Facility		$1,721.48	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,034.79 / $4,918.97 / $13,570.62	Professional		$2,034.79	$4,918.97	$13,570.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,248.93 / $3,974.02	Professional		$174.52	$1,248.93	$3,974.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,676.72 / $2,490.84 / $4,170.79	Facility		$1,676.72	$2,490.84	$4,170.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,903.25 / $6,005.00 / $7,942.45	Professional		$3,903.25	$6,005.00	$7,942.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,163.56 / $27,163.56 / $27,163.56	Facility		$27,163.56	$27,163.56	$27,163.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,536.24 / $8,794.50 / $13,902.00	Professional		$3,536.24	$8,794.50	$13,902.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,314.63 / $6,314.63 / $6,314.63	Professional		$6,314.63	$6,314.63	$6,314.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,106.07 / $10,539.94 / $10,539.94	Professional		$6,106.07	$10,539.94	$10,539.94
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 $1,873.41 / $4,918.97 / $8,489.34	Professional		$1,873.41	$4,918.97	$8,489.34