Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.00 / $1,958.00 / $14,482.00	Facility		$1,958.00	$1,958.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.00 / $2,062.53 / $2,808.89	Professional		$1,958.00	$2,062.53	$2,808.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $4,938.07 / $10,283.03	Professional		$2,200.00	$4,938.07	$10,283.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,062.74 / $7,084.79 / $10,868.24	Facility		$6,062.74	$7,084.79	$10,868.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,207.35 / $4,573.68 / $7,346.49	Professional		$2,207.35	$4,573.68	$7,346.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,958.00 / $3,544.53 / $6,822.99	Facility		$1,958.00	$3,544.53	$6,822.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,199.73 / $6,564.00 / $11,598.00	Facility		$2,199.73	$6,564.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,226.88 / $4,047.21 / $10,718.56	Professional		$2,226.88	$4,047.21	$10,718.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $3,576.24	Professional		$65.00	$85.00	$3,576.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,958.00 / $3,544.53 / $6,822.99	Facility		$1,958.00	$3,544.53	$6,822.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,314.60 / $5,695.27 / $7,950.76	Professional		$4,314.60	$5,695.27	$7,950.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $16,650.12 / $16,650.12	Facility		$7,529.08	$16,650.12	$16,650.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,703.19 / $9,810.00 / $20,218.62	Professional		$2,703.19	$9,810.00	$20,218.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,724.56 / $8,309.43 / $8,309.43	Professional		$2,724.56	$8,309.43	$8,309.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,195.59 / $4,047.21 / $9,102.89	Professional		$2,195.59	$4,047.21	$9,102.89