Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.32 / $3,222.27 / $14,482.00	Facility		$1,439.32	$3,222.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,439.32 / $1,630.65 / $6,086.51	Professional		$1,439.32	$1,630.65	$6,086.51
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 $1,480.42 / $3,054.87 / $8,727.23	Professional		$1,480.42	$3,054.87	$8,727.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,053.24 / $4,736.53 / $7,265.96	Facility		$4,053.24	$4,736.53	$7,265.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,392.90 / $6,057.95 / $6,884.04	Professional		$2,392.90	$6,057.95	$6,884.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,439.32 / $2,144.59 / $3,222.27	Facility		$1,439.32	$2,144.59	$3,222.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,439.32 / $2,267.46 / $5,887.00	Facility		$1,439.32	$2,267.46	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,722.91 / $2,981.36 / $11,909.60	Professional		$1,722.91	$2,981.36	$11,909.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $1,036.90 / $3,353.67	Professional		$147.01	$1,036.90	$3,353.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,439.32 / $2,144.59 / $3,222.27	Facility		$1,439.32	$2,144.59	$3,222.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,334.50 / $4,062.96 / $6,065.20	Professional		$3,334.50	$4,062.96	$6,065.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,431.02 / $17,431.02 / $17,431.02	Facility		$17,431.02	$17,431.02	$17,431.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,043.47 / $7,453.40 / $11,909.60	Professional		$3,043.47	$7,453.40	$11,909.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,409.94 / $5,409.94 / $5,409.94	Professional		$5,409.94	$5,409.94	$5,409.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,685.62 / $8,653.20 / $9,071.23	Professional		$4,685.62	$8,653.20	$9,071.23
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 $1,657.74 / $3,007.97 / $6,532.91	Professional		$1,657.74	$3,007.97	$6,532.91