Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.97 / $3,307.52 / $14,482.00	Facility		$1,478.97	$3,307.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.97 / $1,748.78 / $6,247.54	Professional		$1,478.97	$1,748.78	$6,247.54
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 $1,557.97 / $3,621.97 / $9,116.78	Professional		$1,557.97	$3,621.97	$9,116.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,151.46 / $4,851.31 / $7,442.03	Facility		$4,151.46	$4,851.31	$7,442.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,450.44 / $6,220.34 / $7,068.56	Professional		$2,450.44	$6,220.34	$7,068.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,478.97 / $2,218.46 / $3,570.00	Facility		$1,478.97	$2,218.46	$3,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,482.87 / $2,363.14 / $5,915.88	Facility		$1,482.87	$2,363.14	$5,915.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,823.18 / $3,174.10 / $12,265.60	Professional		$1,823.18	$3,174.10	$12,265.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,385.28 / $3,546.13	Professional		$174.72	$1,385.28	$3,546.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,478.97 / $2,205.02 / $3,570.00	Facility		$1,478.97	$2,205.02	$3,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,440.45 / $4,192.06 / $6,257.91	Professional		$3,440.45	$4,192.06	$6,257.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,960.84 / $21,960.84 / $21,960.84	Facility		$21,960.84	$21,960.84	$21,960.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,125.05 / $7,735.15 / $12,265.60	Professional		$3,125.05	$7,735.15	$12,265.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,563.45 / $5,563.45 / $5,563.45	Professional		$5,563.45	$5,563.45	$5,563.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,246.96 / $9,015.95 / $9,314.37	Professional		$5,246.96	$9,015.95	$9,314.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,791.31 / $2,866.10 / $7,008.05	Professional		$1,791.31	$2,866.10	$7,008.05