Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.04 / $4,158.34 / $14,482.00	Facility		$1,860.04	$4,158.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,860.04 / $1,937.99 / $7,069.07	Professional		$1,860.04	$1,937.99	$7,069.07
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 $1,971.69 / $5,532.21 / $15,086.01	Professional		$1,971.69	$5,532.21	$15,086.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,211.18 / $6,089.67 / $9,822.43	Facility		$5,211.18	$6,089.67	$9,822.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,696.31 / $7,819.60 / $8,885.91	Professional		$3,696.31	$7,819.60	$8,885.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,860.04 / $2,760.37 / $4,052.06	Facility		$1,860.04	$2,760.37	$4,052.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,913.28 / $3,140.00 / $7,700.00	Facility		$1,913.28	$3,140.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,359.37 / $5,571.08 / $15,074.35	Professional		$2,359.37	$5,571.08	$15,074.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,395.28 / $4,418.17	Professional		$174.52	$1,395.28	$4,418.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,860.04 / $2,760.37 / $4,052.06	Facility		$1,860.04	$2,760.37	$4,052.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,338.10 / $6,674.00 / $8,853.53	Professional		$4,338.10	$6,674.00	$8,853.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,225.12 / $40,225.12 / $40,225.12	Facility		$40,225.12	$40,225.12	$40,225.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,928.52 / $9,769.00 / $15,440.48	Professional		$3,928.52	$9,769.00	$15,440.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,999.88 / $6,999.88 / $6,999.88	Professional		$6,999.88	$6,999.88	$6,999.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,788.25 / $11,709.10 / $11,709.10	Professional		$6,788.25	$11,709.10	$11,709.10
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 $2,359.37 / $6,013.64 / $9,873.71	Professional		$2,359.37	$6,013.64	$9,873.71