Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,217.00 / $4,638.87 / $14,482.00	Facility		$2,217.00	$4,638.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,131.83 / $2,282.29 / $10,632.30	Professional		$2,131.83	$2,282.29	$10,632.30
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 $2,223.83 / $5,116.14 / $13,713.66	Professional		$2,223.83	$5,116.14	$13,713.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,834.75 / $6,818.37 / $10,459.54	Facility		$5,834.75	$6,818.37	$10,459.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,328.79 / $8,987.85 / $10,213.45	Professional		$3,328.79	$8,987.85	$10,213.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,217.00 / $3,195.33 / $5,154.30	Facility		$2,217.00	$3,195.33	$5,154.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,217.00 / $4,546.50 / $13,120.00	Facility		$2,217.00	$4,546.50	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,534.75 / $4,470.92 / $21,431.33	Professional		$2,534.75	$4,470.92	$21,431.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,367.90 / $4,353.00	Professional		$262.55	$1,367.90	$4,353.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,217.00 / $3,195.33 / $5,154.30	Facility		$2,217.00	$3,195.33	$5,154.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,502.55 / $5,486.18 / $8,189.79	Professional		$4,502.55	$5,486.18	$8,189.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,330.40 / $21,330.40 / $21,330.40	Facility		$21,330.40	$21,330.40	$21,330.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,205.03 / $11,121.70 / $21,431.33	Professional		$4,205.03	$11,121.70	$21,431.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,355.65 / $7,355.65 / $7,355.65	Professional		$7,355.65	$7,355.65	$7,355.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,394.95 / $11,532.08 / $14,303.67	Professional		$6,394.95	$11,532.08	$14,303.67
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,716.00 / $14,978.00	Facility		$7,217.00	$11,716.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,464.28 / $4,433.24 / $10,120.75	Professional		$2,464.28	$4,433.24	$10,120.75