Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.89 / $4,013.80 / $14,482.00	Facility		$1,797.89	$4,013.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,797.89 / $1,854.50 / $6,801.64	Professional		$1,797.89	$1,854.50	$6,801.64
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 $1,904.49 / $5,327.86 / $14,568.97	Professional		$1,904.49	$5,327.86	$14,568.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,032.76 / $5,881.17 / $9,486.12	Facility		$5,032.76	$5,881.17	$9,486.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,567.82 / $7,551.61 / $8,581.37	Professional		$3,567.82	$7,551.61	$8,581.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,797.89 / $2,666.10 / $3,911.37	Facility		$1,797.89	$2,666.10	$3,911.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,846.29 / $3,061.50 / $7,700.00	Facility		$1,846.29	$3,061.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,276.71 / $5,336.94 / $14,546.38	Professional		$2,276.71	$5,336.94	$14,546.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,341.04 / $4,272.91	Professional		$174.52	$1,341.04	$4,272.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,797.89 / $2,666.10 / $3,911.37	Facility		$1,797.89	$2,666.10	$3,911.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,186.00 / $6,440.00 / $8,521.07	Professional		$4,186.00	$6,440.00	$8,521.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,130.72 / $29,130.72 / $29,130.72	Facility		$29,130.72	$29,130.72	$29,130.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,793.88 / $9,426.85 / $14,910.00	Professional		$3,793.88	$9,426.85	$14,910.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,767.98 / $6,767.98 / $6,767.98	Professional		$6,767.98	$6,767.98	$6,767.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,552.30 / $11,307.83 / $11,307.83	Professional		$6,552.30	$11,307.83	$11,307.83
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 $2,185.31 / $5,336.94 / $9,527.91	Professional		$2,185.31	$5,336.94	$9,527.91