Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,214.06 / $2,710.44 / $14,482.00	Facility		$1,214.06	$2,710.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.06 / $1,418.61 / $5,119.72	Professional		$1,214.06	$1,418.61	$5,119.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,289.10 / $2,973.20 / $7,288.26	Professional		$1,289.10	$2,973.20	$7,288.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,405.33 / $3,979.40 / $6,104.50	Facility		$3,405.33	$3,979.40	$6,104.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,043.46 / $5,092.30 / $5,786.70	Professional		$2,043.46	$5,092.30	$5,786.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,214.06 / $1,821.09 / $3,011.60	Facility		$1,214.06	$1,821.09	$3,011.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.06 / $2,368.42 / $15,090.00	Facility		$1,214.06	$2,368.42	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,503.19 / $2,623.42 / $10,948.48	Professional		$1,503.19	$2,623.42	$10,948.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $851.50 / $2,783.56	Professional		$137.31	$851.50	$2,783.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,214.06 / $1,808.95 / $3,011.60	Facility		$1,214.06	$1,808.95	$3,011.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,727.40 / $3,323.23 / $4,960.93	Professional		$2,727.40	$3,323.23	$4,960.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,585.70 / $17,585.70 / $17,585.70	Facility		$17,585.70	$17,585.70	$17,585.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,558.33 / $6,410.95 / $10,948.48	Professional		$2,558.33	$6,410.95	$10,948.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,568.31 / $4,568.31 / $4,568.31	Professional		$4,568.31	$4,568.31	$4,568.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,697.53 / $7,401.84 / $7,625.21	Professional		$4,697.53	$7,401.84	$7,625.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $17,327.00	Facility		$6,154.00	$12,373.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,496.78 / $2,354.36 / $6,146.83	Professional		$1,496.78	$2,354.36	$6,146.83