Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,101.03 / $4,425.85 / $14,482.00	Facility		$2,101.03	$4,425.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,060.52 / $2,290.36 / $9,913.10	Professional		$2,060.52	$2,290.36	$9,913.10
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 $1,847.59 / $4,202.04 / $12,964.50	Professional		$1,847.59	$4,202.04	$12,964.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,553.60 / $6,489.82 / $9,955.56	Facility		$5,553.60	$6,489.82	$9,955.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,117.34 / $8,931.69 / $10,150.70	Professional		$3,117.34	$8,931.69	$10,150.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,101.03 / $2,586.63 / $4,643.28	Facility		$2,101.03	$2,586.63	$4,643.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,101.03 / $4,288.78 / $17,940.00	Facility		$2,101.03	$4,288.78	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,212.21 / $4,072.34 / $16,414.72	Professional		$2,212.21	$4,072.34	$16,414.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,390.23 / $4,453.46	Professional		$200.71	$1,390.23	$4,453.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,101.03 / $2,586.63 / $4,643.28	Facility		$2,101.03	$2,586.63	$4,643.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,605.25 / $5,611.32 / $8,376.60	Professional		$4,605.25	$5,611.32	$8,376.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,045.21 / $24,045.21 / $24,045.21	Facility		$24,045.21	$24,045.21	$24,045.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,900.26 / $10,369.35 / $16,414.72	Professional		$3,900.26	$10,369.35	$16,414.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,953.82 / $6,953.82 / $6,953.82	Professional		$6,953.82	$6,953.82	$6,953.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,145.05 / $11,057.28 / $13,677.29	Professional		$6,145.05	$11,057.28	$13,677.29
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 $2,256.67 / $4,072.34 / $9,260.24	Professional		$2,256.67	$4,072.34	$9,260.24