Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.26 / $3,200.63 / $14,482.00	Facility		$1,465.26	$3,200.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.52 / $1,467.03 / $8,072.83	Professional		$1,435.52	$1,467.03	$8,072.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,474.56 / $4,088.33 / $8,538.58	Professional		$1,474.56	$4,088.33	$8,538.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,132.54 / $4,829.20 / $7,789.32	Facility		$4,132.54	$4,829.20	$7,789.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.52 / $4,511.51 / $6,549.89	Professional		$2,119.52	$4,511.51	$6,549.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,465.26 / $1,884.00 / $3,058.38	Facility		$1,465.26	$1,884.00	$3,058.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,478.34 / $5,266.00 / $15,126.00	Facility		$1,478.34	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,727.53 / $3,668.13 / $9,754.71	Professional		$1,727.53	$3,668.13	$9,754.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $974.29 / $3,163.18	Professional		$95.42	$974.29	$3,163.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,465.26 / $1,884.00 / $3,058.38	Facility		$1,465.26	$1,884.00	$3,058.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,041.35 / $4,679.00 / $5,531.98	Professional		$3,041.35	$4,679.00	$5,531.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,186.58 / $7,336.25 / $11,588.56	Professional		$2,186.58	$7,336.25	$11,588.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,375.71 / $4,375.71 / $4,375.71	Professional		$4,375.71	$4,375.71	$4,375.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,094.84 / $8,812.58 / $8,812.58	Professional		$3,094.84	$8,812.58	$8,812.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,718.00 / $4,082.19 / $7,399.34	Professional		$1,718.00	$4,082.19	$7,399.34