Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,245.73 / $2,245.73 / $17,823.00	Facility		$2,245.73	$2,245.73	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,245.73 / $2,496.36	Professional		$1,091.79	$2,245.73	$2,496.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.35 / $4,022.19 / $11,449.69	Professional		$1,778.35	$4,022.19	$11,449.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,118.60 / $7,150.07 / $11,532.82	Facility		$6,118.60	$7,150.07	$11,532.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,391.64 / $7,358.54 / $9,888.45	Professional		$3,391.64	$7,358.54	$9,888.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,245.73 / $2,766.81 / $4,779.85	Facility		$2,245.73	$2,766.81	$4,779.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,223.19 / $3,364.00 / $7,868.00	Facility		$2,223.19	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,223.19 / $6,017.24 / $11,981.93	Professional		$2,223.19	$6,017.24	$11,981.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $5,061.09	Professional		$50.00	$70.00	$5,061.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,245.73 / $2,766.81 / $4,779.85	Facility		$2,245.73	$2,766.81	$4,779.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,464.04 / $4,540.54 / $6,510.39	Professional		$2,464.04	$4,540.54	$6,510.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,213.08 / $23,213.08 / $23,213.08	Facility		$23,213.08	$23,213.08	$23,213.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,149.76 / $8,224.79 / $13,264.64	Professional		$3,149.76	$8,224.79	$13,264.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,061.83 / $12,061.83 / $12,061.83	Professional		$12,061.83	$12,061.83	$12,061.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,627.61 / $16,762.84 / $16,762.84	Professional		$14,627.61	$16,762.84	$16,762.84
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 $2,126.14 / $6,017.24 / $10,462.79	Professional		$2,126.14	$6,017.24	$10,462.79