Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,440.06 / $5,384.29 / $14,482.00	Facility		$2,440.06	$5,384.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,166.69 / $2,449.19 / $7,722.76	Professional		$2,166.69	$2,449.19	$7,722.76
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 $2,560.28 / $6,964.75 / $18,873.53	Professional		$2,560.28	$6,964.75	$18,873.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,835.90 / $7,988.29 / $12,884.82	Facility		$6,835.90	$7,988.29	$12,884.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.05 / $10,192.95 / $11,582.91	Professional		$4,786.05	$10,192.95	$11,582.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,440.06 / $3,460.59 / $5,144.99	Facility		$2,440.06	$3,460.59	$5,144.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,440.06 / $3,584.39 / $7,700.00	Facility		$2,440.06	$3,584.39	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,857.07 / $6,398.93 / $19,669.09	Professional		$2,857.07	$6,398.93	$19,669.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $1,760.00 / $5,703.65	Professional		$267.74	$1,760.00	$5,703.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,440.06 / $3,460.59 / $5,144.99	Facility		$2,440.06	$3,460.59	$5,144.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,545.80 / $8,532.00 / $11,424.14	Professional		$5,545.80	$8,532.00	$11,424.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,960.64 / $38,960.64 / $38,960.64	Facility		$38,960.64	$38,960.64	$38,960.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,120.88 / $12,746.65 / $19,981.91	Professional		$5,120.88	$12,746.65	$19,981.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,244.03 / $9,244.03 / $9,244.03	Professional		$9,244.03	$9,244.03	$9,244.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,443.29 / $15,263.03 / $15,263.03	Professional		$8,443.29	$15,263.03	$15,263.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,709.89 / $6,398.93 / $12,883.29	Professional		$2,709.89	$6,398.93	$12,883.29