Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,909.17 / $4,260.39 / $14,482.00	Facility		$1,909.17	$4,260.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,909.17 / $2,002.12 / $7,259.62	Professional		$1,909.17	$2,002.12	$7,259.62
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 $2,018.75 / $5,680.55 / $15,466.55	Professional		$2,018.75	$5,680.55	$15,466.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,340.94 / $6,241.31 / $10,067.01	Facility		$5,340.94	$6,241.31	$10,067.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,787.02 / $8,016.83 / $9,110.04	Professional		$3,787.02	$8,016.83	$9,110.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,909.17 / $2,470.59 / $4,071.05	Facility		$1,909.17	$2,470.59	$4,071.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,961.63 / $3,021.36 / $7,700.00	Facility		$1,961.63	$3,021.36	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,410.67 / $5,793.21 / $15,499.47	Professional		$2,410.67	$5,793.21	$15,499.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,432.46 / $4,583.35	Professional		$198.09	$1,432.46	$4,583.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,909.17 / $2,470.59 / $4,071.05	Facility		$1,909.17	$2,470.59	$4,071.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,447.95 / $6,843.00 / $9,097.73	Professional		$4,447.95	$6,843.00	$9,097.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,949.68 / $30,949.68 / $30,949.68	Facility		$30,949.68	$30,949.68	$30,949.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,027.61 / $10,044.50 / $16,202.05	Professional		$4,027.61	$10,044.50	$16,202.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,190.68 / $7,190.68 / $7,190.68	Professional		$7,190.68	$7,190.68	$7,190.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,986.52 / $12,004.50 / $12,004.50	Professional		$2,986.52	$12,004.50	$12,004.50
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 $2,410.67 / $6,618.07 / $9,951.68	Professional		$2,410.67	$6,618.07	$9,951.68