Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.58 / $3,686.58 / $14,482.00	Facility		$2,288.58	$3,686.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,268.78 / $2,288.58 / $6,870.05	Professional		$1,268.78	$2,288.58	$6,870.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,831.92 / $4,472.51 / $11,097.31	Professional		$1,831.92	$4,472.51	$11,097.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,580.39 / $5,352.55 / $8,633.48	Facility		$4,580.39	$5,352.55	$8,633.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,113.10 / $5,555.07 / $7,350.51	Professional		$3,113.10	$5,555.07	$7,350.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,802.33 / $2,564.69 / $3,553.07	Facility		$1,802.33	$2,564.69	$3,553.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.18 / $3,364.00 / $7,868.00	Facility		$1,966.18	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,335.42 / $6,350.06 / $10,728.14	Professional		$2,335.42	$6,350.06	$10,728.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,581.98 / $4,606.69	Professional		$85.00	$2,581.98	$4,606.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,802.33 / $2,564.69 / $3,553.07	Facility		$1,802.33	$2,564.69	$3,553.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,698.50 / $5,711.05 / $7,468.52	Professional		$3,698.50	$5,711.05	$7,468.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,822.87 / $34,822.87 / $34,822.87	Facility		$34,822.87	$34,822.87	$34,822.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,188.81 / $9,097.50 / $13,692.16	Professional		$3,188.81	$9,097.50	$13,692.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,444.27 / $9,444.27 / $9,444.27	Professional		$9,444.27	$9,444.27	$9,444.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,370.99 / $12,448.01 / $12,448.01	Professional		$8,370.99	$12,448.01	$12,448.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,202.23 / $6,364.47 / $10,256.62	Professional		$2,202.23	$6,364.47	$10,256.62