Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.82 / $2,407.25 / $14,482.00	Facility		$1,075.82	$2,407.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.82 / $1,100.39 / $4,057.13	Professional		$1,075.82	$1,100.39	$4,057.13
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 $1,088.04 / $3,176.09 / $8,731.00	Professional		$1,088.04	$3,176.09	$8,731.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,023.26 / $3,532.92 / $5,698.47	Facility		$3,023.26	$3,532.92	$5,698.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,139.78 / $4,525.59 / $5,142.71	Professional		$2,139.78	$4,525.59	$5,142.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,075.82 / $1,523.26 / $2,807.16	Facility		$1,075.82	$1,523.26	$2,807.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,176.88 / $2,678.00 / $7,700.00	Facility		$1,176.88	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,262.32 / $3,093.63 / $8,116.06	Professional		$1,262.32	$3,093.63	$8,116.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $1,010.91 / $2,666.73	Professional		$137.33	$1,010.91	$2,666.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,075.82 / $1,523.26 / $2,807.16	Facility		$1,075.82	$1,523.26	$2,807.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,497.94 / $3,843.00 / $4,975.14	Professional		$2,497.94	$3,843.00	$4,975.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,497.10 / $14,497.10 / $14,497.10	Facility		$14,497.10	$14,497.10	$14,497.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,273.62 / $5,259.65 / $11,237.42	Professional		$2,273.62	$5,259.65	$11,237.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,044.48 / $4,044.48 / $4,044.48	Professional		$4,044.48	$4,044.48	$4,044.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,929.71 / $6,776.66 / $6,776.66	Professional		$3,929.71	$6,776.66	$6,776.66
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 $1,262.32 / $3,304.27 / $5,446.92	Professional		$1,262.32	$3,304.27	$5,446.92