Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.52 / $4,076.91 / $14,482.00	Facility		$1,826.52	$4,076.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,826.52 / $1,879.08 / $5,458.02	Professional		$1,826.52	$1,879.08	$5,458.02
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 $1,947.44 / $5,191.63 / $14,795.27	Professional		$1,947.44	$5,191.63	$14,795.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,105.75 / $5,966.47 / $9,623.70	Facility		$5,105.75	$5,966.47	$9,623.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,623.92 / $7,668.89 / $8,714.65	Professional		$3,623.92	$7,668.89	$8,714.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,826.52 / $2,726.42 / $3,969.03	Facility		$1,826.52	$2,726.42	$3,969.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,879.08 / $3,364.00 / $7,700.00	Facility		$1,879.08	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.59 / $5,025.34 / $14,827.84	Professional		$2,187.59	$5,025.34	$14,827.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,368.54 / $4,348.92	Professional		$174.52	$1,368.54	$4,348.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,826.52 / $2,726.42 / $3,969.03	Facility		$1,826.52	$2,726.42	$3,969.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,261.39 / $6,556.00 / $8,653.04	Professional		$4,261.39	$6,556.00	$8,653.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,499.36 / $39,499.36 / $39,499.36	Facility		$39,499.36	$39,499.36	$39,499.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,852.81 / $9,609.25 / $15,158.08	Professional		$3,852.81	$9,609.25	$15,158.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,877.81 / $6,877.81 / $6,877.81	Professional		$6,877.81	$6,877.81	$6,877.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,655.33 / $11,483.48 / $11,483.48	Professional		$6,655.33	$11,483.48	$11,483.48
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 $2,240.80 / $6,457.42 / $10,627.64	Professional		$2,240.80	$6,457.42	$10,627.64