Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,865.94 / $4,165.99 / $14,482.00	Facility		$1,865.94	$4,165.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.94 / $1,943.13 / $7,064.73	Professional		$1,865.94	$1,943.13	$7,064.73
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 $1,963.65 / $5,530.19 / $15,119.90	Professional		$1,963.65	$5,530.19	$15,119.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,221.99 / $6,102.31 / $9,842.81	Facility		$5,221.99	$6,102.31	$9,842.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,703.10 / $7,837.16 / $8,905.86	Professional		$3,703.10	$7,837.16	$8,905.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,865.94 / $2,749.11 / $4,058.66	Facility		$1,865.94	$2,749.11	$4,058.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,917.27 / $3,140.00 / $7,700.00	Facility		$1,917.27	$3,140.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,365.39 / $5,621.88 / $15,109.92	Professional		$2,365.39	$5,621.88	$15,109.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,368.54 / $4,410.67	Professional		$174.52	$1,368.54	$4,410.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,865.94 / $2,812.80 / $4,058.66	Facility		$1,865.94	$2,812.80	$4,058.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,347.20 / $6,688.00 / $8,852.21	Professional		$4,347.20	$6,688.00	$8,852.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,243.00 / $30,243.00 / $30,243.00	Facility		$30,243.00	$30,243.00	$30,243.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,937.34 / $9,792.04 / $15,478.16	Professional		$3,937.34	$9,792.04	$15,478.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,026.29 / $7,026.29 / $7,026.29	Professional		$7,026.29	$7,026.29	$7,026.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,800.74 / $11,735.45 / $11,735.45	Professional		$6,800.74	$11,735.45	$11,735.45
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 $2,350.09 / $6,580.26 / $9,897.02	Professional		$2,350.09	$6,580.26	$9,897.02