Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,998.49 / $4,066.11 / $14,482.00	Facility		$1,998.49	$4,066.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.70 / $2,044.02 / $6,690.34	Professional		$1,931.70	$2,044.02	$6,690.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,886.67 / $5,237.09 / $13,508.67	Professional		$1,886.67	$5,237.09	$13,508.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.35 / $5,970.68 / $9,630.50	Facility		$5,109.35	$5,970.68	$9,630.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,692.67 / $6,157.87 / $8,200.61	Professional		$2,692.67	$6,157.87	$8,200.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,987.88 / $2,641.34 / $3,937.50	Facility		$1,987.88	$2,641.34	$3,937.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,931.70 / $2,906.66 / $7,700.00	Facility		$1,931.70	$2,906.66	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,192.21 / $4,658.20 / $12,876.92	Professional		$2,192.21	$4,658.20	$12,876.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $1,361.08 / $4,227.60	Professional		$132.78	$1,361.08	$4,227.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,998.49 / $2,747.50 / $3,937.50	Facility		$1,998.49	$2,747.50	$3,937.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,033.25 / $6,205.00 / $7,755.29	Professional		$4,033.25	$6,205.00	$7,755.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,061.64 / $26,061.64 / $26,061.64	Facility		$26,061.64	$26,061.64	$26,061.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,744.15 / $9,461.60 / $20,776.70	Professional		$2,744.15	$9,461.60	$20,776.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,119.45 / $10,119.45 / $10,119.45	Professional		$10,119.45	$10,119.45	$10,119.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,118.12 / $11,643.84 / $11,643.84	Professional		$9,118.12	$11,643.84	$11,643.84
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 $2,264.86 / $4,658.20 / $9,443.62	Professional		$2,264.86	$4,658.20	$9,443.62