Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.23 / $3,647.61 / $14,482.00	Facility		$1,631.23	$3,647.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.23 / $1,924.81 / $6,889.93	Professional		$1,631.23	$1,924.81	$6,889.93
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 $1,717.74 / $3,462.20 / $10,055.37	Professional		$1,717.74	$3,462.20	$10,055.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,576.79 / $5,348.34 / $8,204.49	Facility		$4,576.79	$5,348.34	$8,204.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,702.30 / $6,858.58 / $7,793.84	Professional		$2,702.30	$6,858.58	$7,793.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,631.23 / $2,446.85 / $3,972.65	Facility		$1,631.23	$2,446.85	$3,972.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,635.69 / $2,613.44 / $6,235.00	Facility		$1,635.69	$2,613.44	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,018.40 / $3,506.18 / $13,522.32	Professional		$2,018.40	$3,506.18	$13,522.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,193.46 / $3,856.81	Professional		$169.65	$1,193.46	$3,856.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,631.23 / $2,431.73 / $3,972.65	Facility		$1,631.23	$2,431.73	$3,972.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,794.05 / $4,622.89 / $6,901.09	Professional		$3,794.05	$4,622.89	$6,901.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,807.38 / $19,807.38 / $19,807.38	Facility		$19,807.38	$19,807.38	$19,807.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,445.71 / $8,524.65 / $13,522.32	Professional		$3,445.71	$8,524.65	$13,522.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,136.25 / $6,136.25 / $6,136.25	Professional		$6,136.25	$6,136.25	$6,136.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,795.91 / $9,921.74 / $10,270.14	Professional		$5,795.91	$9,921.74	$10,270.14
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 $2,006.35 / $3,409.86 / $7,723.33	Professional		$2,006.35	$3,409.86	$7,723.33