Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $2,506.28 / $14,482.00	Facility		$1,121.68	$2,506.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.68 / $1,259.83 / $4,734.08	Professional		$1,121.68	$1,259.83	$4,734.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $22,519.00	Facility		$11,499.00	$16,241.00	$22,519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,187.67 / $2,746.97 / $6,920.30	Professional		$1,187.67	$2,746.97	$6,920.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,153.02 / $3,684.55 / $5,652.20	Facility		$3,153.02	$3,684.55	$5,652.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.87 / $4,702.92 / $5,344.23	Professional		$1,836.87	$4,702.92	$5,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $1,671.30 / $2,784.75	Facility		$1,121.68	$1,671.30	$2,784.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $2,022.30 / $16,976.00	Facility		$1,121.68	$2,022.30	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.03 / $2,432.44 / $11,130.10	Professional		$1,348.03	$2,432.44	$11,130.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $750.24 / $2,437.73	Professional		$111.62	$750.24	$2,437.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $1,670.85 / $2,784.75	Facility		$1,121.68	$1,670.85	$2,784.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,447.90 / $2,982.67 / $4,452.54	Professional		$2,447.90	$2,982.67	$4,452.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,249.18 / $20,249.18 / $20,249.18	Facility		$20,249.18	$20,249.18	$20,249.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,362.69 / $5,919.55 / $11,130.10	Professional		$2,362.69	$5,919.55	$11,130.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,223.08 / $4,223.08 / $4,223.08	Professional		$4,223.08	$4,223.08	$4,223.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,467.71 / $6,731.79 / $7,042.18	Professional		$4,467.71	$6,731.79	$7,042.18
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,302.30 / $2,314.91 / $5,327.60	Professional		$1,302.30	$2,314.91	$5,327.60