Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.29 / $4,175.08 / $14,482.00	Facility		$1,987.29	$4,175.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,916.69 / $2,064.65 / $9,498.48	Professional		$1,916.69	$2,064.65	$9,498.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.16 / $4,106.97 / $12,293.51	Professional		$1,995.16	$4,106.97	$12,293.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,246.32 / $6,130.74 / $9,404.70	Facility		$5,246.32	$6,130.74	$9,404.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,102.53 / $8,092.83 / $9,196.40	Professional		$3,102.53	$8,092.83	$9,196.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,987.29 / $2,634.21 / $4,391.91	Facility		$1,987.29	$2,634.21	$4,391.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,987.29 / $3,411.42 / $14,246.00	Facility		$1,987.29	$3,411.42	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,314.42 / $4,148.26 / $15,208.80	Professional		$2,314.42	$4,148.26	$15,208.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,238.72 / $3,939.32	Professional		$200.71	$1,238.72	$3,939.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,987.29 / $2,464.00 / $4,391.91	Facility		$1,987.29	$2,464.00	$4,391.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,085.25 / $4,977.72 / $7,430.76	Professional		$4,085.25	$4,977.72	$7,430.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,549.38 / $26,549.38 / $26,549.38	Facility		$26,549.38	$26,549.38	$26,549.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,786.28 / $9,935.65 / $15,208.80	Professional		$3,786.28	$9,935.65	$15,208.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,593.92 / $6,593.92 / $6,593.92	Professional		$6,593.92	$6,593.92	$6,593.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,036.09 / $10,169.09 / $12,879.25	Professional		$6,036.09	$10,169.09	$12,879.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,294.48 / $4,152.93 / $9,101.06	Professional		$2,294.48	$4,152.93	$9,101.06