Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.74 / $2,940.86 / $14,482.00	Facility		$1,330.74	$2,940.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.74 / $1,527.49 / $4,891.84	Professional		$1,330.74	$1,527.49	$4,891.84
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 $1,410.02 / $2,824.44 / $8,131.02	Professional		$1,410.02	$2,824.44	$8,131.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,696.39 / $4,319.53 / $6,626.27	Facility		$3,696.39	$4,319.53	$6,626.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,242.92 / $5,520.56 / $6,273.36	Professional		$2,242.92	$5,520.56	$6,273.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,330.74 / $1,982.80 / $3,152.89	Facility		$1,330.74	$1,982.80	$3,152.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,330.74 / $2,247.35 / $5,887.00	Facility		$1,330.74	$2,247.35	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,635.46 / $2,818.96 / $10,708.32	Professional		$1,635.46	$2,818.96	$10,708.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,157.07 / $3,057.64	Professional		$174.72	$1,157.07	$3,057.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,330.74 / $1,982.80 / $3,152.89	Facility		$1,330.74	$1,982.80	$3,152.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,876.25 / $3,504.60 / $5,231.68	Professional		$2,876.25	$3,504.60	$5,231.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,789.92 / $23,789.92 / $23,789.92	Facility		$23,789.92	$23,789.92	$23,789.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,773.48 / $6,975.40 / $10,708.32	Professional		$2,773.48	$6,975.40	$10,708.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,961.92 / $4,961.92 / $4,961.92	Professional		$4,961.92	$4,961.92	$4,961.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,263.30 / $7,880.92 / $8,266.48	Professional		$4,263.30	$7,880.92	$8,266.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,032.00 / $19,003.00	Facility		$2,429.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,583.44 / $2,561.65 / $6,277.86	Professional		$1,583.44	$2,561.65	$6,277.86