Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.19 / $2,717.03 / $14,482.00	Facility		$1,213.19	$2,717.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,213.19 / $1,438.88 / $5,132.17	Professional		$1,213.19	$1,438.88	$5,132.17
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 $1,267.56 / $2,971.08 / $7,473.04	Professional		$1,267.56	$2,971.08	$7,473.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,407.13 / $3,981.51 / $6,107.73	Facility		$3,407.13	$3,981.51	$6,107.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,013.79 / $5,102.93 / $5,798.79	Professional		$2,013.79	$5,102.93	$5,798.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,213.19 / $1,819.79 / $3,018.93	Facility		$1,213.19	$1,819.79	$3,018.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.46 / $2,183.73 / $5,887.00	Facility		$1,214.46	$2,183.73	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,485.37 / $2,613.35 / $10,274.83	Professional		$1,485.37	$2,613.35	$10,274.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $888.72 / $2,885.50	Professional		$137.33	$888.72	$2,885.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,213.19 / $1,811.36 / $3,018.93	Facility		$1,213.19	$1,811.36	$3,018.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,823.60 / $3,440.45 / $5,135.91	Professional		$2,823.60	$3,440.45	$5,135.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,998.75 / $17,998.75 / $17,998.75	Facility		$17,998.75	$17,998.75	$17,998.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,563.69 / $6,282.10 / $10,274.83	Professional		$2,563.69	$6,282.10	$10,274.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,560.38 / $4,560.38 / $4,560.38	Professional		$4,560.38	$4,560.38	$4,560.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,326.60 / $7,347.73 / $7,641.22	Professional		$4,326.60	$7,347.73	$7,641.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,443.94 / $2,512.84 / $6,142.46	Professional		$1,443.94	$2,512.84	$6,142.46