Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,736.14 / $2,736.14 / $17,823.00	Facility		$2,736.14	$2,736.14	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.50 / $2,521.51 / $3,234.51	Professional		$1,312.50	$2,521.51	$3,234.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,063.29 / $5,241.56 / $14,354.41	Professional		$2,063.29	$5,241.56	$14,354.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,553.60 / $6,489.82 / $9,955.56	Facility		$5,553.60	$6,489.82	$9,955.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,972.55 / $7,742.69 / $8,798.51	Professional		$2,972.55	$7,742.69	$8,798.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,820.82 / $2,701.80 / $4,186.42	Facility		$1,820.82	$2,701.80	$4,186.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,870.06 / $2,803.00 / $6,283.00	Facility		$1,870.06	$2,803.00	$6,283.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,150.39 / $4,226.39 / $16,826.72	Professional		$2,150.39	$4,226.39	$16,826.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $1,033.68 / $3,189.25	Professional		$55.00	$1,033.68	$3,189.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,820.82 / $2,701.80 / $4,186.42	Facility		$1,820.82	$2,701.80	$4,186.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,388.83 / $4,384.14 / $6,311.66	Professional		$2,388.83	$4,384.14	$6,311.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,588.77 / $21,416.16 / $21,416.16	Facility		$2,588.77	$21,416.16	$21,416.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,890.60 / $11,279.60 / $16,826.72	Professional		$3,890.60	$11,279.60	$16,826.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,682.61 / $7,682.61 / $7,682.61	Professional		$7,682.61	$7,682.61	$7,682.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,921.26 / $10,921.26 / $10,921.26	Professional		$10,921.26	$10,921.26	$10,921.26
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 $2,030.56 / $3,830.94 / $8,742.27	Professional		$2,030.56	$3,830.94	$8,742.27