Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,361.84 / $4,957.72 / $14,482.00	Facility		$2,361.84	$4,957.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,361.84 / $2,455.06 / $11,302.00	Professional		$2,361.84	$2,455.06	$11,302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,366.32 / $5,450.41 / $15,559.09	Professional		$2,366.32	$5,450.41	$15,559.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,227.64 / $7,277.49 / $11,163.86	Facility		$6,227.64	$7,277.49	$11,163.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,516.68 / $9,981.61 / $11,352.98	Professional		$3,516.68	$9,981.61	$11,352.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,203.42 / $3,134.48 / $5,219.67	Facility		$2,203.42	$3,134.48	$5,219.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,297.28 / $4,848.89 / $17,940.00	Facility		$2,297.28	$4,848.89	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,769.30 / $5,041.50 / $20,967.80	Professional		$2,769.30	$5,041.50	$20,967.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.31 / $1,524.54 / $4,889.90	Professional		$225.31	$1,524.54	$4,889.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,203.42 / $3,134.48 / $5,219.67	Facility		$2,203.42	$3,134.48	$5,219.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,853.55 / $5,913.86 / $8,828.23	Professional		$4,853.55	$5,913.86	$8,828.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,151.86 / $40,151.86 / $40,151.86	Facility		$40,151.86	$40,151.86	$40,151.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,497.12 / $11,822.15 / $20,967.80	Professional		$4,497.12	$11,822.15	$20,967.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,837.99 / $7,837.99 / $7,837.99	Professional		$7,837.99	$7,837.99	$7,837.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,388.10 / $15,297.22 / $15,297.22	Professional		$7,388.10	$15,297.22	$15,297.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,731.41 / $5,041.50 / $10,758.16	Professional		$2,731.41	$5,041.50	$10,758.16