Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,552.11 / $2,552.11 / $17,823.00	Facility		$2,552.11	$2,552.11	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.79 / $2,552.11 / $2,836.85	Professional		$1,091.79	$2,552.11	$2,836.85
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 $1,918.86 / $4,570.93 / $12,354.37	Professional		$1,918.86	$4,570.93	$12,354.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,473.46 / $11,070.50 / $17,856.33	Facility		$9,473.46	$11,070.50	$17,856.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,137.39 / $11,394.06 / $15,311.05	Professional		$4,137.39	$11,394.06	$15,311.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,552.11 / $3,786.66 / $7,401.20	Facility		$2,552.11	$3,786.66	$7,401.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,557.15 / $4,096.39 / $7,868.00	Facility		$2,557.15	$4,096.39	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,326.21 / $7,744.36 / $16,200.77	Professional		$2,326.21	$7,744.36	$16,200.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $7,836.66	Professional		$50.00	$70.00	$7,836.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,552.11 / $3,786.66 / $7,401.20	Facility		$2,552.11	$3,786.66	$7,401.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,006.02 / $5,539.25 / $7,942.39	Professional		$3,006.02	$5,539.25	$7,942.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,195.64 / $28,195.64 / $28,195.64	Facility		$28,195.64	$28,195.64	$28,195.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,825.83 / $9,061.20 / $16,111.76	Professional		$3,825.83	$9,061.20	$16,111.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,676.72 / $18,676.72 / $18,676.72	Professional		$18,676.72	$18,676.72	$18,676.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22,649.60 / $25,955.85 / $25,955.85	Professional		$22,649.60	$25,955.85	$25,955.85
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 $2,283.11 / $8,477.75 / $15,229.61	Professional		$2,283.11	$8,477.75	$15,229.61