Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,854.31 / $4,139.91 / $14,482.00	Facility		$1,854.31	$4,139.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,854.31 / $1,915.67 / $7,017.36	Professional		$1,854.31	$1,915.67	$7,017.36
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 $1,940.44 / $5,242.35 / $15,022.84	Professional		$1,940.44	$5,242.35	$15,022.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,189.55 / $6,064.40 / $9,781.66	Facility		$5,189.55	$6,064.40	$9,781.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,679.91 / $7,786.86 / $8,848.70	Professional		$3,679.91	$7,786.86	$8,848.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,854.31 / $2,716.62 / $4,033.36	Facility		$1,854.31	$2,716.62	$4,033.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,150.00 / $7,700.00	Facility		$1,905.46	$3,150.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,349.64 / $5,611.46 / $15,009.62	Professional		$2,349.64	$5,611.46	$15,009.62
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 $1,854.31 / $2,716.62 / $4,033.36	Facility		$1,854.31	$2,716.62	$4,033.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,320.55 / $6,647.00 / $8,792.58	Professional		$4,320.55	$6,647.00	$8,792.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,048.00 / $30,048.00 / $30,048.00	Facility		$30,048.00	$30,048.00	$30,048.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,912.07 / $9,727.04 / $17,668.47	Professional		$3,912.07	$9,727.04	$17,668.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,980.12 / $6,980.12 / $6,980.12	Professional		$6,980.12	$6,980.12	$6,980.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,758.17 / $11,660.07 / $11,660.07	Professional		$6,758.17	$11,660.07	$11,660.07
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 $2,349.64 / $6,536.58 / $9,831.32	Professional		$2,349.64	$6,536.58	$9,831.32