Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,112.16 / $4,386.08 / $14,482.00	Facility		$2,112.16	$4,386.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,112.16 / $2,171.75 / $9,971.32	Professional		$2,112.16	$2,171.75	$9,971.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,103.54 / $4,874.22 / $13,190.88	Professional		$2,103.54	$4,874.22	$13,190.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,560.81 / $6,498.25 / $9,968.48	Facility		$5,560.81	$6,498.25	$9,968.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,261.46 / $8,567.54 / $9,735.85	Professional		$3,261.46	$8,567.54	$9,735.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,112.16 / $3,118.99 / $4,873.43	Facility		$2,112.16	$3,118.99	$4,873.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,112.16 / $4,295.59 / $13,120.00	Facility		$2,112.16	$4,295.59	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,441.98 / $4,542.80 / $22,628.38	Professional		$2,441.98	$4,542.80	$22,628.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.05 / $1,260.56 / $4,035.17	Professional		$233.05	$1,260.56	$4,035.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,112.16 / $3,021.34 / $4,873.43	Facility		$2,112.16	$3,021.34	$4,873.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,206.80 / $5,125.82 / $7,651.85	Professional		$4,206.80	$5,125.82	$7,651.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,170.48 / $20,170.48 / $20,170.48	Facility		$20,170.48	$20,170.48	$20,170.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,008.38 / $10,430.25 / $22,628.38	Professional		$4,008.38	$10,430.25	$22,628.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,000.75 / $7,000.75 / $7,000.75	Professional		$7,000.75	$7,000.75	$7,000.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,838.66 / $10,717.42 / $13,634.76	Professional		$6,838.66	$10,717.42	$13,634.76
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 $2,321.42 / $4,411.87 / $10,009.49	Professional		$2,321.42	$4,411.87	$10,009.49