Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.23 / $2,411.23 / $17,823.00	Facility		$2,411.23	$2,411.23	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.78 / $2,411.23 / $2,680.14	Professional		$983.78	$2,411.23	$2,680.14
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 $1,812.46 / $4,318.64 / $11,669.31	Professional		$1,812.46	$4,318.64	$11,669.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,429.98 / $9,851.10 / $15,889.47	Facility		$8,429.98	$9,851.10	$15,889.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,678.89 / $10,138.36 / $13,623.41	Professional		$3,678.89	$10,138.36	$13,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,411.23 / $3,369.34 / $6,585.54	Facility		$2,411.23	$3,369.34	$6,585.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,920.69 / $7,868.00	Facility		$2,429.00	$3,920.69	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,079.11 / $7,335.81 / $15,126.48	Professional		$2,079.11	$7,335.81	$15,126.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $6,973.01	Professional		$50.00	$70.00	$6,973.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,411.23 / $3,369.34 / $6,585.54	Facility		$2,411.23	$3,369.34	$6,585.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,672.93 / $4,925.45 / $7,062.30	Professional		$2,672.93	$4,925.45	$7,062.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,471.17 / $26,471.17 / $26,471.17	Facility		$26,471.17	$26,471.17	$26,471.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,591.87 / $8,507.07 / $15,126.48	Professional		$3,591.87	$8,507.07	$15,126.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,618.41 / $16,618.41 / $16,618.41	Professional		$16,618.41	$16,618.41	$16,618.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20,153.46 / $23,095.32 / $23,095.32	Professional		$20,153.46	$23,095.32	$23,095.32
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 $2,002.21 / $7,577.19 / $14,415.33	Professional		$2,002.21	$7,577.19	$14,415.33