Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.47 / $3,612.44 / $14,482.00	Facility		$1,616.47	$3,612.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.47 / $1,863.80 / $6,120.24	Professional		$1,616.47	$1,863.80	$6,120.24
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 $1,710.90 / $4,561.28 / $13,106.98	Professional		$1,710.90	$4,561.28	$13,106.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,530.83 / $5,294.63 / $8,540.06	Facility		$4,530.83	$5,294.63	$8,540.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,211.07 / $6,793.79 / $7,720.21	Professional		$3,211.07	$6,793.79	$7,720.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,616.47 / $2,080.79 / $3,451.89	Facility		$1,616.47	$2,080.79	$3,451.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,803.00 / $7,700.00	Facility		$1,716.00	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,031.49 / $4,813.79 / $13,061.48	Professional		$2,031.49	$4,813.79	$13,061.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $1,183.61 / $3,840.42	Professional		$159.57	$1,183.61	$3,840.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,616.47 / $2,080.79 / $3,451.89	Facility		$1,616.47	$2,080.79	$3,451.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,761.55 / $5,787.00 / $7,662.01	Professional		$3,761.55	$5,787.00	$7,662.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,181.60 / $26,181.60 / $26,181.60	Facility		$26,181.60	$26,181.60	$26,181.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,413.16 / $8,464.54 / $13,402.96	Professional		$3,413.16	$8,464.54	$13,402.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,081.00 / $6,081.00 / $6,081.00	Professional		$6,081.00	$6,081.00	$6,081.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,897.11 / $10,173.08 / $10,173.08	Professional		$5,897.11	$10,173.08	$10,173.08
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 $2,031.49 / $5,206.07 / $8,555.29	Professional		$2,031.49	$5,206.07	$8,555.29