Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,174.10 / $4,852.75 / $14,482.00	Facility		$2,174.10	$4,852.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,174.10 / $2,285.30 / $8,278.31	Professional		$2,174.10	$2,285.30	$8,278.31
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 $2,288.09 / $6,491.66 / $17,421.95	Professional		$2,288.09	$6,491.66	$17,421.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,080.76 / $7,105.85 / $11,461.48	Facility		$6,080.76	$7,105.85	$11,461.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,313.55 / $9,129.76 / $10,374.73	Professional		$4,313.55	$9,129.76	$10,374.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,174.10 / $2,814.27 / $4,637.08	Facility		$2,174.10	$2,814.27	$4,637.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,234.75 / $3,440.88 / $7,700.00	Facility		$2,234.75	$3,440.88	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,746.39 / $6,456.07 / $17,657.93	Professional		$2,746.39	$6,456.07	$17,657.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $1,607.05 / $5,155.89	Professional		$234.61	$1,607.05	$5,155.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,174.10 / $2,814.27 / $4,637.08	Facility		$2,174.10	$2,814.27	$4,637.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,067.39 / $7,796.00 / $10,366.75	Professional		$5,067.39	$7,796.00	$10,366.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,248.19 / $35,248.19 / $35,248.19	Facility		$35,248.19	$35,248.19	$35,248.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,586.72 / $11,443.30 / $18,482.93	Professional		$4,586.72	$11,443.30	$18,482.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,185.82 / $8,185.82 / $8,185.82	Professional		$8,185.82	$8,185.82	$8,185.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,800.81 / $13,670.98 / $13,670.98	Professional		$7,800.81	$13,670.98	$13,670.98
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 $2,765.14 / $7,465.84 / $11,565.97	Professional		$2,765.14	$7,465.84	$11,565.97