Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,133.25 / $4,452.14 / $14,482.00	Facility		$2,133.25	$4,452.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.22 / $2,190.62 / $7,934.71	Professional		$2,001.22	$2,190.62	$7,934.71
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 $2,127.81 / $4,922.88 / $13,206.11	Professional		$2,127.81	$4,922.88	$13,206.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,616.68 / $6,563.54 / $10,068.62	Facility		$5,616.68	$6,563.54	$10,068.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,113.76 / $8,642.24 / $9,820.73	Professional		$3,113.76	$8,642.24	$9,820.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,133.25 / $3,093.13 / $4,946.83	Facility		$2,133.25	$3,093.13	$4,946.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,133.25 / $4,452.14 / $13,250.00	Facility		$2,133.25	$4,452.14	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,346.66 / $4,287.99 / $19,652.56	Professional		$2,346.66	$4,287.99	$19,652.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.21 / $1,316.48 / $4,199.62	Professional		$230.21	$1,316.48	$4,199.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,133.25 / $3,088.39 / $4,946.83	Facility		$2,133.25	$3,088.39	$4,946.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,317.95 / $5,261.26 / $7,854.02	Professional		$4,317.95	$5,261.26	$7,854.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,496.00 / $20,496.00 / $20,496.00	Facility		$20,496.00	$20,496.00	$20,496.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,043.33 / $10,666.65 / $19,652.56	Professional		$4,043.33	$10,666.65	$19,652.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,083.40 / $7,083.40 / $7,083.40	Professional		$7,083.40	$7,083.40	$7,083.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,952.45 / $11,354.57 / $13,753.64	Professional		$6,952.45	$11,354.57	$13,753.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,323.81 / $4,146.68 / $9,706.65	Professional		$2,323.81	$4,146.68	$9,706.65