Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,130.48 / $4,752.79 / $14,482.00	Facility		$2,130.48	$4,752.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.48 / $2,198.59 / $8,079.92	Professional		$2,130.48	$2,198.59	$8,079.92
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 $2,265.57 / $6,326.24 / $17,251.80	Professional		$2,265.57	$6,326.24	$17,251.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,953.70 / $6,957.37 / $11,221.99	Facility		$5,953.70	$6,957.37	$11,221.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,224.70 / $8,942.20 / $10,161.60	Professional		$4,224.70	$8,942.20	$10,161.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,130.48 / $2,764.43 / $4,541.55	Facility		$2,130.48	$2,764.43	$4,541.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,190.90 / $3,364.00 / $7,700.00	Facility		$2,190.90	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,708.60 / $6,194.41 / $17,289.36	Professional		$2,708.60	$6,194.41	$17,289.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $1,600.51 / $5,119.56	Professional		$234.61	$1,600.51	$5,119.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,130.48 / $2,764.43 / $4,541.55	Facility		$2,130.48	$2,764.43	$4,541.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,968.60 / $7,644.00 / $10,127.96	Professional		$4,968.60	$7,644.00	$10,127.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,547.16 / $34,547.16 / $34,547.16	Facility		$34,547.16	$34,547.16	$34,547.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,492.50 / $11,204.45 / $17,676.64	Professional		$4,492.50	$11,204.45	$17,676.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,024.11 / $8,024.11 / $8,024.11	Professional		$8,024.11	$8,024.11	$8,024.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,758.66 / $13,390.14 / $13,390.14	Professional		$7,758.66	$13,390.14	$13,390.14
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 $2,689.07 / $6,892.46 / $12,391.90	Professional		$2,689.07	$6,892.46	$12,391.90