Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,211.65 / $4,933.21 / $14,482.00	Facility		$2,211.65	$4,933.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,211.65 / $2,291.35 / $8,391.59	Professional		$2,211.65	$2,291.35	$8,391.59
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 $2,317.17 / $6,572.12 / $17,905.87	Professional		$2,317.17	$6,572.12	$17,905.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,178.08 / $7,219.57 / $11,644.92	Facility		$6,178.08	$7,219.57	$11,644.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,385.09 / $9,281.25 / $10,546.88	Professional		$4,385.09	$9,281.25	$10,546.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,211.65 / $3,244.04 / $4,801.17	Facility		$2,211.65	$3,244.04	$4,801.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,275.04 / $3,502.77 / $7,700.00	Facility		$2,275.04	$3,502.77	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,814.01 / $6,688.39 / $17,958.66	Professional		$2,814.01	$6,688.39	$17,958.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $1,642.79 / $5,303.17	Professional		$234.61	$1,642.79	$5,303.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,211.65 / $3,372.00 / $4,801.17	Facility		$2,211.65	$3,372.00	$4,801.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,159.70 / $7,938.00 / $10,520.84	Professional		$5,159.70	$7,938.00	$10,520.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47,823.36 / $47,823.36 / $47,823.36	Facility		$47,823.36	$47,823.36	$47,823.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,662.83 / $11,638.20 / $18,351.12	Professional		$4,662.83	$11,638.20	$18,351.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,331.43 / $8,331.43 / $8,331.43	Professional		$8,331.43	$8,331.43	$8,331.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,053.20 / $13,897.80 / $13,897.80	Professional		$8,053.20	$13,897.80	$13,897.80
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 $2,814.01 / $7,160.83 / $12,871.62	Professional		$2,814.01	$7,160.83	$12,871.62