Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,599.52 / $3,573.92 / $14,482.00	Facility		$1,599.52	$3,573.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,599.52 / $1,888.03 / $6,750.74	Professional		$1,599.52	$1,888.03	$6,750.74
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 $1,687.07 / $3,917.20 / $9,862.58	Professional		$1,687.07	$3,917.20	$9,862.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.97 / $5,239.88 / $8,038.11	Facility		$4,483.97	$5,239.88	$8,038.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,646.34 / $6,722.17 / $7,638.83	Professional		$2,646.34	$6,722.17	$7,638.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,599.52 / $2,394.00 / $3,914.52	Facility		$1,599.52	$2,394.00	$3,914.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,606.63 / $2,578.42 / $6,235.00	Facility		$1,606.63	$2,578.42	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,963.38 / $3,417.24 / $13,260.16	Professional		$1,963.38	$3,417.24	$13,260.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,154.83 / $3,710.16	Professional		$169.65	$1,154.83	$3,710.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,599.52 / $2,383.28 / $3,914.52	Facility		$1,599.52	$2,383.28	$3,914.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,720.60 / $4,533.41 / $6,767.49	Professional		$3,720.60	$4,533.41	$6,767.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,426.32 / $19,426.32 / $19,426.32	Facility		$19,426.32	$19,426.32	$19,426.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,377.16 / $8,364.90 / $13,260.16	Professional		$3,377.16	$8,364.90	$13,260.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,018.59 / $6,018.59 / $6,018.59	Professional		$6,018.59	$6,018.59	$6,018.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,648.88 / $9,728.73 / $10,065.82	Professional		$5,648.88	$9,728.73	$10,065.82
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 $1,851.51 / $3,342.33 / $7,528.41	Professional		$1,851.51	$3,342.33	$7,528.41