Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.16 / $1,184.16 / $14,482.00	Facility		$1,184.16	$1,184.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.10 / $1,262.52 / $1,838.63	Professional		$912.10	$1,262.52	$1,838.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $15,502.00 / $22,165.00	Facility		$11,499.00	$15,502.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.47 / $2,513.30 / $6,909.99	Professional		$1,195.47	$2,513.30	$6,909.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,024.40 / $4,702.83 / $7,214.26	Facility		$4,024.40	$4,702.83	$7,214.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.77 / $5,916.77 / $6,723.60	Professional		$2,454.77	$5,916.77	$6,723.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,184.16 / $1,764.40 / $3,572.78	Facility		$1,184.16	$1,764.40	$3,572.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,290.34 / $2,532.73 / $15,090.00	Facility		$1,290.34	$2,532.73	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $820.32 / $2,121.73 / $9,721.68	Professional		$820.32	$2,121.73	$9,721.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,945.89	Professional		$50.00	$70.00	$2,945.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,184.16 / $1,735.53 / $3,572.78	Facility		$1,184.16	$1,735.53	$3,572.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,154.60 / $3,147.31 / $4,531.04	Professional		$2,154.60	$3,147.31	$4,531.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,527.17 / $5,799.70 / $9,721.68	Professional		$2,527.17	$5,799.70	$9,721.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,249.77 / $5,249.77 / $5,249.77	Professional		$5,249.77	$5,249.77	$5,249.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,079.80 / $9,006.82 / $9,006.82	Professional		$6,079.80	$9,006.82	$9,006.82
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $855.98 / $2,087.85 / $6,042.72	Professional		$855.98	$2,087.85	$6,042.72