Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,827.01 / $5,268.22 / $14,482.00	Facility		$2,827.01	$5,268.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.87 / $2,827.01 / $5,937.01	Professional		$2,400.87	$2,827.01	$5,937.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,527.23 / $5,798.99 / $14,935.63	Professional		$2,527.23	$5,798.99	$14,935.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,585.39 / $7,695.54 / $11,805.16	Facility		$6,585.39	$7,695.54	$11,805.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,948.71 / $8,800.71 / $10,522.20	Professional		$2,948.71	$8,800.71	$10,522.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,524.62 / $3,278.00 / $5,121.92	Facility		$2,524.62	$3,278.00	$5,121.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,475.69 / $3,410.20 / $5,887.00	Facility		$2,475.69	$3,410.20	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,795.20 / $6,247.48 / $19,403.20	Professional		$2,795.20	$6,247.48	$19,403.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $1,808.49 / $5,544.48	Professional		$199.19	$1,808.49	$5,544.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,524.62 / $3,278.00 / $5,121.92	Facility		$2,524.62	$3,278.00	$5,121.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,872.00 / $6,497.62 / $10,644.80	Professional		$4,872.00	$6,497.62	$10,644.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,070.20 / $49,583.20 / $49,583.20	Facility		$3,070.20	$49,583.20	$49,583.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,556.89 / $12,622.15 / $19,403.20	Professional		$4,556.89	$12,622.15	$19,403.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,417.64 / $9,417.64 / $9,417.64	Professional		$9,417.64	$9,417.64	$9,417.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.10 / $12,847.65 / $12,847.65	Professional		$8,511.10	$12,847.65	$12,847.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,751.70 / $5,704.88 / $13,423.93	Professional		$2,751.70	$5,704.88	$13,423.93