Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,254.69 / $4,945.84 / $14,482.00	Facility		$2,254.69	$4,945.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,125.77 / $2,328.04 / $8,383.95	Professional		$2,125.77	$2,328.04	$8,383.95
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 $2,354.16 / $6,564.82 / $18,094.05	Professional		$2,354.16	$6,564.82	$18,094.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,288.02 / $7,348.04 / $11,852.13	Facility		$6,288.02	$7,348.04	$11,852.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,396.29 / $9,378.75 / $10,657.68	Professional		$4,396.29	$9,378.75	$10,657.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,254.69 / $3,023.82 / $4,845.41	Facility		$2,254.69	$3,023.82	$4,845.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,254.69 / $3,498.65 / $7,700.00	Facility		$2,254.69	$3,498.65	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,799.19 / $6,774.25 / $18,098.00	Professional		$2,799.19	$6,774.25	$18,098.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $1,498.49 / $4,856.93	Professional		$217.99	$1,498.49	$4,856.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,254.69 / $3,023.82 / $4,845.41	Facility		$2,254.69	$3,023.82	$4,845.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,742.39 / $7,323.00 / $10,430.68	Professional		$4,742.39	$7,323.00	$10,430.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,188.24 / $34,188.24 / $34,188.24	Facility		$34,188.24	$34,188.24	$34,188.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,711.83 / $11,755.60 / $18,098.00	Professional		$4,711.83	$11,755.60	$18,098.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,512.43 / $8,512.43 / $8,512.43	Professional		$8,512.43	$8,512.43	$8,512.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,073.80 / $14,043.83 / $14,043.83	Professional		$8,073.80	$14,043.83	$14,043.83
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 $2,761.54 / $7,149.35 / $11,881.62	Professional		$2,761.54	$7,149.35	$11,881.62