Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.16 / $4,015.94 / $14,482.00	Facility		$1,814.16	$4,015.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.24 / $1,814.97 / $5,737.27	Professional		$1,744.24	$1,814.97	$5,737.27
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 $1,949.61 / $5,224.68 / $14,013.06	Professional		$1,949.61	$5,224.68	$14,013.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,113.85 / $5,975.95 / $9,638.99	Facility		$5,113.85	$5,975.95	$9,638.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,569.71 / $7,598.18 / $8,634.29	Professional		$3,569.71	$7,598.18	$8,634.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,814.16 / $2,512.00 / $3,837.45	Facility		$1,814.16	$2,512.00	$3,837.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,814.97 / $2,839.07 / $7,700.00	Facility		$1,814.97	$2,839.07	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,103.34 / $4,790.78 / $14,785.10	Professional		$2,103.34	$4,790.78	$14,785.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $1,317.09 / $4,188.84	Professional		$184.59	$1,317.09	$4,188.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,814.16 / $2,512.00 / $3,837.45	Facility		$1,814.16	$2,512.00	$3,837.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,106.70 / $6,318.00 / $8,780.09	Professional		$4,106.70	$6,318.00	$8,780.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,901.40 / $28,901.40 / $28,901.40	Facility		$28,901.40	$28,901.40	$28,901.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,817.29 / $9,581.54 / $14,837.84	Professional		$3,817.29	$9,581.54	$14,837.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,863.41 / $6,863.41 / $6,863.41	Professional		$6,863.41	$6,863.41	$6,863.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,824.61 / $11,377.60 / $11,377.60	Professional		$5,824.61	$11,377.60	$11,377.60
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 $2,000.79 / $5,920.77 / $9,185.18	Professional		$2,000.79	$5,920.77	$9,185.18