Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.92 / $3,281.42 / $14,482.00	Facility		$1,466.92	$3,281.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.92 / $1,734.10 / $6,198.24	Professional		$1,466.92	$1,734.10	$6,198.24
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 $1,500.74 / $3,592.47 / $9,041.10	Professional		$1,500.74	$3,592.47	$9,041.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,116.32 / $4,810.24 / $7,379.03	Facility		$4,116.32	$4,810.24	$7,379.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,430.91 / $6,169.12 / $7,010.36	Professional		$2,430.91	$6,169.12	$7,010.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,466.92 / $2,187.62 / $3,263.70	Facility		$1,466.92	$2,187.62	$3,263.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,470.48 / $2,328.31 / $5,887.00	Facility		$1,470.48	$2,328.31	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,741.71 / $3,083.40 / $12,163.12	Professional		$1,741.71	$3,083.40	$12,163.12
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 $1,466.92 / $2,185.71 / $3,263.70	Facility		$1,466.92	$2,185.71	$3,263.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,413.80 / $4,159.58 / $6,209.44	Professional		$3,413.80	$4,159.58	$6,209.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,775.60 / $21,775.60 / $21,775.60	Facility		$21,775.60	$21,775.60	$21,775.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,099.32 / $7,670.15 / $12,163.12	Professional		$3,099.32	$7,670.15	$12,163.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,517.27 / $5,517.27 / $5,517.27	Professional		$5,517.27	$5,517.27	$5,517.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,572.59 / $8,941.49 / $9,237.68	Professional		$4,572.59	$8,941.49	$9,237.68
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 $1,713.62 / $3,185.04 / $7,002.85	Professional		$1,713.62	$3,185.04	$7,002.85