Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.16 / $3,656.43 / $14,482.00	Facility		$1,637.16	$3,656.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.16 / $1,702.29 / $6,214.21	Professional		$1,637.16	$1,702.29	$6,214.21
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 $1,734.25 / $4,865.14 / $13,270.19	Professional		$1,734.25	$4,865.14	$13,270.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,583.10 / $5,355.71 / $8,638.57	Facility		$4,583.10	$5,355.71	$8,638.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,250.16 / $6,878.41 / $7,816.38	Professional		$3,250.16	$6,878.41	$7,816.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,637.16 / $2,427.94 / $3,562.12	Facility		$1,637.16	$2,427.94	$3,562.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,803.00 / $7,700.00	Facility		$1,716.00	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,076.58 / $4,821.16 / $13,265.78	Professional		$2,076.58	$4,821.16	$13,265.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,221.44 / $3,908.82	Professional		$169.65	$1,221.44	$3,908.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,637.16 / $2,427.94 / $3,562.12	Facility		$1,637.16	$2,427.94	$3,562.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,816.15 / $5,871.00 / $7,787.03	Professional		$3,816.15	$5,871.00	$7,787.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,548.56 / $26,548.56 / $26,548.56	Facility		$26,548.56	$26,548.56	$26,548.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,455.66 / $8,596.95 / $13,585.92	Professional		$3,455.66	$8,596.95	$13,585.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,162.99 / $6,162.99 / $6,162.99	Professional		$6,162.99	$6,162.99	$6,162.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,968.92 / $10,299.76 / $10,299.76	Professional		$5,968.92	$10,299.76	$10,299.76
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 $2,013.40 / $5,289.92 / $8,689.11	Professional		$2,013.40	$5,289.92	$8,689.11