Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.66 / $4,141.46 / $14,482.00	Facility		$1,855.66	$4,141.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,855.66 / $1,940.75 / $7,053.50	Professional		$1,855.66	$1,940.75	$7,053.50
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 $1,962.13 / $5,526.82 / $15,034.58	Professional		$1,962.13	$5,526.82	$15,034.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,191.35 / $6,066.51 / $9,785.06	Facility		$5,191.35	$6,066.51	$9,785.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,681.30 / $7,792.94 / $8,855.61	Professional		$3,681.30	$7,792.94	$8,855.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,855.66 / $2,400.04 / $3,957.40	Facility		$1,855.66	$2,400.04	$3,957.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,906.35 / $2,936.21 / $7,700.00	Facility		$1,906.35	$2,936.21	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,356.78 / $5,748.51 / $15,055.37	Professional		$2,356.78	$5,748.51	$15,055.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,368.54 / $4,374.16	Professional		$174.52	$1,368.54	$4,374.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,855.66 / $2,400.04 / $3,957.40	Facility		$1,855.66	$2,400.04	$3,957.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,322.50 / $6,650.00 / $8,836.34	Professional		$4,322.50	$6,650.00	$8,836.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,080.28 / $30,080.28 / $30,080.28	Facility		$30,080.28	$30,080.28	$30,080.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,915.12 / $9,756.70 / $16,516.93	Professional		$3,915.12	$9,756.70	$16,516.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,987.28 / $6,987.28 / $6,987.28	Professional		$6,987.28	$6,987.28	$6,987.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.71 / $11,669.21 / $11,669.21	Professional		$6,760.71	$11,669.21	$11,669.21
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 $2,356.78 / $6,004.74 / $9,645.95	Professional		$2,356.78	$6,004.74	$9,645.95