Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.50 / $3,062.93 / $14,482.00	Facility		$1,368.50	$3,062.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.50 / $1,616.33 / $5,785.53	Professional		$1,368.50	$1,616.33	$5,785.53
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 $1,441.42 / $3,351.43 / $8,433.12	Professional		$1,441.42	$3,351.43	$8,433.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,844.18 / $4,492.22 / $6,891.19	Facility		$3,844.18	$4,492.22	$6,891.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,270.40 / $5,757.50 / $6,542.61	Professional		$2,270.40	$5,757.50	$6,542.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,368.50 / $2,052.75 / $3,331.77	Facility		$1,368.50	$2,052.75	$3,331.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,368.64 / $2,203.00 / $5,887.00	Facility		$1,368.64	$2,203.00	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,658.32 / $2,942.62 / $11,343.28	Professional		$1,658.32	$2,942.62	$11,343.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $989.70 / $3,196.32	Professional		$137.33	$989.70	$3,196.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,368.50 / $2,041.95 / $3,331.77	Facility		$1,368.50	$2,041.95	$3,331.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,181.75 / $3,876.84 / $5,787.36	Professional		$3,181.75	$3,876.84	$5,787.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,302.15 / $20,302.15 / $20,302.15	Facility		$20,302.15	$20,302.15	$20,302.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,892.53 / $7,146.50 / $11,343.28	Professional		$2,892.53	$7,146.50	$11,343.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,146.25 / $5,146.25 / $5,146.25	Professional		$5,146.25	$5,146.25	$5,146.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,894.08 / $8,331.24 / $8,621.31	Professional		$4,894.08	$8,331.24	$8,621.31
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 $1,636.34 / $2,855.56 / $6,474.73	Professional		$1,636.34	$2,855.56	$6,474.73