Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,966.51 / $4,388.78 / $14,482.00	Facility		$1,966.51	$4,388.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,966.51 / $2,044.76 / $7,447.63	Professional		$1,966.51	$2,044.76	$7,447.63
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 $2,083.55 / $5,835.74 / $15,929.58	Professional		$2,083.55	$5,835.74	$15,929.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,499.54 / $6,426.64 / $10,365.95	Facility		$5,499.54	$6,426.64	$10,365.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,901.13 / $8,256.84 / $9,382.78	Professional		$3,901.13	$8,256.84	$9,382.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,966.51 / $2,916.97 / $4,274.29	Facility		$1,966.51	$2,916.97	$4,274.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,021.17 / $3,112.48 / $7,700.00	Facility		$2,021.17	$3,112.48	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,494.88 / $5,936.81 / $15,932.53	Professional		$2,494.88	$5,936.81	$15,932.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $1,864.43 / $4,971.63	Professional		$248.25	$1,864.43	$4,971.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,966.51 / $2,916.97 / $4,274.29	Facility		$1,966.51	$2,916.97	$4,274.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,583.14 / $7,051.00 / $9,334.65	Professional		$4,583.14	$7,051.00	$9,334.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,878.96 / $31,878.96 / $31,878.96	Facility		$31,878.96	$31,878.96	$31,878.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,148.18 / $10,325.15 / $16,313.36	Professional		$4,148.18	$10,325.15	$16,313.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,403.52 / $7,403.52 / $7,403.52	Professional		$7,403.52	$7,403.52	$7,403.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,164.44 / $12,363.86 / $12,363.86	Professional		$7,164.44	$12,363.86	$12,363.86
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 $2,478.04 / $6,349.55 / $10,435.84	Professional		$2,478.04	$6,349.55	$10,435.84