Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,276.42 / $2,276.42 / $17,823.00	Facility		$2,276.42	$2,276.42	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.76 / $2,276.42 / $2,530.36	Professional		$974.76	$2,276.42	$2,530.36
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 $1,701.98 / $4,077.17 / $10,958.02	Professional		$1,701.98	$4,077.17	$10,958.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,388.28 / $8,633.79 / $13,926.00	Facility		$7,388.28	$8,633.79	$13,926.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,490.29 / $8,886.19 / $11,941.53	Professional		$3,490.29	$8,886.19	$11,941.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,276.42 / $2,958.33 / $5,772.17	Facility		$2,276.42	$2,958.33	$5,772.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,626.39 / $7,868.00	Facility		$2,429.00	$3,626.39	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,074.09 / $6,741.12 / $13,445.28	Professional		$2,074.09	$6,741.12	$13,445.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $6,111.76	Professional		$50.00	$70.00	$6,111.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,276.42 / $2,958.33 / $5,772.17	Facility		$2,276.42	$2,958.33	$5,772.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,535.82 / $4,672.80 / $6,700.04	Professional		$2,535.82	$4,672.80	$6,700.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,528.78 / $23,528.78 / $23,528.78	Facility		$23,528.78	$23,528.78	$23,528.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,192.70 / $8,089.85 / $13,445.28	Professional		$3,192.70	$8,089.85	$13,445.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,565.90 / $14,565.90 / $14,565.90	Professional		$14,565.90	$14,565.90	$14,565.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17,664.34 / $20,242.86 / $20,242.86	Professional		$17,664.34	$20,242.86	$20,242.86
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 $1,925.19 / $7,866.42 / $11,877.51	Professional		$1,925.19	$7,866.42	$11,877.51