Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.87 / $4,047.07 / $14,482.00	Facility		$1,812.87	$4,047.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.87 / $1,878.74 / $6,886.99	Professional		$1,812.87	$1,878.74	$6,886.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,917.22 / $5,389.51 / $14,689.72	Professional		$1,917.22	$5,389.51	$14,689.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,075.10 / $5,930.67 / $9,565.95	Facility		$5,075.10	$5,930.67	$9,565.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,597.41 / $7,614.20 / $8,652.50	Professional		$3,597.41	$7,614.20	$8,652.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,812.87 / $2,669.00 / $3,867.21	Facility		$1,812.87	$2,669.00	$3,867.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $2,867.64 / $7,700.00	Facility		$1,862.00	$2,867.64	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,299.73 / $5,419.24 / $14,694.21	Professional		$2,299.73	$5,419.24	$14,694.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,368.54 / $4,362.10	Professional		$174.52	$1,368.54	$4,362.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,812.87 / $2,669.00 / $3,867.21	Facility		$1,812.87	$2,669.00	$3,867.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,221.75 / $6,495.00 / $8,624.86	Professional		$4,221.75	$6,495.00	$8,624.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,374.80 / $29,374.80 / $29,374.80	Facility		$29,374.80	$29,374.80	$29,374.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,825.32 / $9,522.65 / $15,034.64	Professional		$3,825.32	$9,522.65	$15,034.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,824.55 / $6,824.55 / $6,824.55	Professional		$6,824.55	$6,824.55	$6,824.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.63 / $11,401.55 / $11,401.55	Professional		$6,606.63	$11,401.55	$11,401.55
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 $2,290.19 / $4,761.33 / $9,624.73	Professional		$2,290.19	$4,761.33	$9,624.73