Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,256.21 / $5,030.08 / $14,482.00	Facility		$2,256.21	$5,030.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,256.21 / $2,343.69 / $8,591.17	Professional		$2,256.21	$2,343.69	$8,591.17
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 $2,408.03 / $6,438.52 / $18,261.55	Professional		$2,408.03	$6,438.52	$18,261.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,295.22 / $7,356.47 / $11,865.72	Facility		$6,295.22	$7,356.47	$11,865.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,471.18 / $9,465.57 / $10,756.33	Professional		$4,471.18	$9,465.57	$10,756.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,256.21 / $3,371.24 / $4,806.52	Facility		$2,256.21	$3,371.24	$4,806.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,322.63 / $3,576.38 / $7,700.00	Facility		$2,322.63	$3,576.38	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,783.59 / $6,379.66 / $18,371.52	Professional		$2,783.59	$6,379.66	$18,371.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $1,670.29 / $5,356.26	Professional		$234.61	$1,670.29	$5,356.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,256.21 / $3,371.24 / $4,806.52	Facility		$2,256.21	$3,371.24	$4,806.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,268.25 / $8,105.00 / $10,778.35	Professional		$5,268.25	$8,105.00	$10,778.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36,623.28 / $36,623.28 / $36,623.28	Facility		$36,623.28	$36,623.28	$36,623.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,755.45 / $11,905.75 / $18,732.72	Professional		$4,755.45	$11,905.75	$18,732.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,499.94 / $8,499.94 / $8,499.94	Professional		$8,499.94	$8,499.94	$8,499.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,211.32 / $14,173.85 / $14,173.85	Professional		$8,211.32	$14,173.85	$14,173.85
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 $2,783.59 / $7,333.84 / $12,033.38	Professional		$2,783.59	$7,333.84	$12,033.38