Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.55 / $3,973.09 / $14,482.00	Facility		$1,779.55	$3,973.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.55 / $1,843.47 / $6,731.60	Professional		$1,779.55	$1,843.47	$6,731.60
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 $1,882.10 / $5,025.00 / $14,420.34	Professional		$1,882.10	$5,025.00	$14,420.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,982.29 / $5,822.20 / $9,391.01	Facility		$4,982.29	$5,822.20	$9,391.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,531.65 / $7,474.56 / $8,493.81	Professional		$3,531.65	$7,474.56	$8,493.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,779.55 / $2,634.94 / $3,871.98	Facility		$1,779.55	$2,634.94	$3,871.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,827.39 / $3,140.00 / $7,700.00	Facility		$1,827.39	$3,140.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,252.51 / $5,358.96 / $14,393.16	Professional		$2,252.51	$5,358.96	$14,393.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,323.39 / $4,272.91	Professional		$174.52	$1,323.39	$4,272.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,779.55 / $2,710.31 / $3,871.98	Facility		$1,779.55	$2,710.31	$3,871.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,143.10 / $6,374.00 / $8,430.54	Professional		$4,143.10	$6,374.00	$8,430.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,831.80 / $28,831.80 / $28,831.80	Facility		$28,831.80	$28,831.80	$28,831.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,755.17 / $9,327.54 / $14,757.04	Professional		$3,755.17	$9,327.54	$14,757.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,697.85 / $6,697.85 / $6,697.85	Professional		$6,697.85	$6,697.85	$6,697.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,485.86 / $11,192.43 / $11,192.43	Professional		$6,485.86	$11,192.43	$11,192.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,252.51 / $6,643.83 / $10,316.08	Professional		$2,252.51	$6,643.83	$10,316.08