Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,735.59 / $2,735.59 / $17,823.00	Facility		$2,735.59	$2,735.59	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.31 / $2,735.59 / $3,040.85	Professional		$1,121.31	$2,735.59	$3,040.85
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 $2,053.90 / $4,899.57 / $12,613.89	Professional		$2,053.90	$4,899.57	$12,613.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,517.87 / $12,290.97 / $19,824.89	Facility		$10,517.87	$12,290.97	$19,824.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,472.35 / $12,649.81 / $16,998.68	Professional		$4,472.35	$12,649.81	$16,998.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,735.59 / $4,203.99 / $8,216.89	Facility		$2,735.59	$4,203.99	$8,216.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,203.99 / $8,216.89	Facility		$2,678.00	$4,203.99	$8,216.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,376.01 / $8,152.87 / $17,986.20	Professional		$2,376.01	$8,152.87	$17,986.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $8,700.31	Professional		$50.00	$70.00	$8,700.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,735.59 / $4,203.99 / $8,216.89	Facility		$2,735.59	$4,203.99	$8,216.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,249.29 / $5,987.52 / $8,585.14	Professional		$3,249.29	$5,987.52	$8,585.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,269.69 / $30,269.69 / $30,269.69	Facility		$30,269.69	$30,269.69	$30,269.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,107.29 / $9,727.79 / $17,297.04	Professional		$4,107.29	$9,727.79	$17,297.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20,735.09 / $20,735.09 / $20,735.09	Professional		$20,735.09	$20,735.09	$20,735.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25,145.83 / $28,816.45 / $28,816.45	Professional		$25,145.83	$28,816.45	$28,816.45
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 $2,331.98 / $8,152.87 / $16,908.07	Professional		$2,331.98	$8,152.87	$16,908.07