Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,328.29 / $4,495.60 / $14,482.00	Facility		$2,328.29	$4,495.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.70 / $1,403.82 / $3,805.67	Professional		$1,196.70	$1,403.82	$3,805.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.76 / $2,363.19 / $8,514.98	Professional		$1,248.76	$2,363.19	$8,514.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,151.22 / $3,682.45 / $5,939.65	Facility		$3,151.22	$3,682.45	$5,939.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,926.94 / $3,471.57 / $5,047.09	Professional		$1,926.94	$3,471.57	$5,047.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,233.21 / $1,531.85 / $2,410.37	Facility		$1,233.21	$1,531.85	$2,410.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,345.32 / $12,050.00 / $23,692.00	Facility		$1,345.32	$12,050.00	$23,692.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,496.86 / $2,846.19 / $8,340.89	Professional		$1,496.86	$2,846.19	$8,340.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,750.29 / $2,777.65	Professional		$85.00	$1,750.29	$2,777.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,233.21 / $1,531.85 / $2,410.37	Facility		$1,233.21	$1,531.85	$2,410.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,931.96 / $3,668.76 / $4,615.00	Professional		$2,931.96	$3,668.76	$4,615.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,357.99 / $16,357.99 / $16,357.99	Facility		$16,357.99	$16,357.99	$16,357.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,863.35 / $6,201.40 / $25,915.00	Professional		$1,863.35	$6,201.40	$25,915.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,446.59 / $6,446.59 / $6,446.59	Professional		$6,446.59	$6,446.59	$6,446.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,727.70 / $8,531.06 / $8,531.06	Professional		$5,727.70	$8,531.06	$8,531.06
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $16,424.00 / $23,474.00	Facility		$9,662.00	$16,424.00	$23,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,488.34 / $3,166.19 / $6,943.83	Professional		$1,488.34	$3,166.19	$6,943.83