Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,967.30 / $4,127.08 / $14,482.00	Facility		$1,967.30	$4,127.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,888.30 / $2,031.13 / $9,385.00	Professional		$1,888.30	$2,031.13	$9,385.00
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 $1,963.10 / $4,539.92 / $12,146.43	Professional		$1,963.10	$4,539.92	$12,146.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,198.56 / $6,074.93 / $9,319.10	Facility		$5,198.56	$6,074.93	$9,319.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,939.64 / $7,991.26 / $9,080.98	Professional		$2,939.64	$7,991.26	$9,080.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,967.30 / $2,751.39 / $4,347.72	Facility		$1,967.30	$2,751.39	$4,347.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,967.30 / $3,766.40 / $13,120.00	Facility		$1,967.30	$3,766.40	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.23 / $3,947.72 / $14,951.28	Professional		$2,137.23	$3,947.72	$14,951.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $1,205.95 / $3,860.00	Professional		$223.38	$1,205.95	$3,860.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,967.30 / $2,747.85 / $4,347.72	Facility		$1,967.30	$2,747.85	$4,347.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,999.45 / $4,873.18 / $7,274.69	Professional		$3,999.45	$4,873.18	$7,274.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,941.84 / $18,941.84 / $18,941.84	Facility		$18,941.84	$18,941.84	$18,941.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,738.75 / $9,816.95 / $14,951.28	Professional		$3,738.75	$9,816.95	$14,951.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,515.02 / $6,515.02 / $6,515.02	Professional		$6,515.02	$6,515.02	$6,515.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,556.23 / $10,009.76 / $12,717.56	Professional		$5,556.23	$10,009.76	$12,717.56
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 $2,056.60 / $4,060.40 / $8,933.42	Professional		$2,056.60	$4,060.40	$8,933.42