Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.16 / $2,665.13 / $14,482.00	Facility		$1,190.16	$2,665.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.16 / $1,401.33 / $5,034.13	Professional		$1,190.16	$1,401.33	$5,034.13
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 $1,253.82 / $2,867.36 / $7,058.51	Professional		$1,253.82	$2,867.36	$7,058.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,347.66 / $3,912.01 / $6,001.12	Facility		$3,347.66	$3,912.01	$6,001.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,987.39 / $5,008.17 / $5,691.10	Professional		$1,987.39	$5,008.17	$5,691.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,190.16 / $1,785.24 / $2,908.21	Facility		$1,190.16	$1,785.24	$2,908.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.16 / $2,142.29 / $16,976.00	Facility		$1,190.16	$2,142.29	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,401.49 / $2,478.38 / $9,855.60	Professional		$1,401.49	$2,478.38	$9,855.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $1,102.43 / $2,862.38	Professional		$147.01	$1,102.43	$2,862.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,190.16 / $1,776.75 / $2,908.21	Facility		$1,190.16	$1,776.75	$2,908.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,763.15 / $3,366.79 / $5,025.96	Professional		$2,763.15	$3,366.79	$5,025.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,633.77 / $17,633.77 / $17,633.77	Facility		$17,633.77	$17,633.77	$17,633.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,516.06 / $6,195.95 / $9,855.60	Professional		$2,516.06	$6,195.95	$9,855.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,471.88 / $4,471.88 / $4,471.88	Professional		$4,471.88	$4,471.88	$4,471.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,002.81 / $6,902.29 / $7,499.23	Professional		$4,002.81	$6,902.29	$7,499.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.50 / $2,421.46 / $5,613.53	Professional		$1,373.50	$2,421.46	$5,613.53