Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.84 / $4,010.51 / $14,482.00	Facility		$1,793.84	$4,010.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,793.84 / $1,905.46 / $6,773.58	Professional		$1,793.84	$1,905.46	$6,773.58
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 $1,891.81 / $5,308.08 / $14,550.15	Professional		$1,891.81	$5,308.08	$14,550.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,032.76 / $5,881.17 / $9,486.12	Facility		$5,032.76	$5,881.17	$9,486.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,564.90 / $7,541.83 / $8,570.26	Professional		$3,564.90	$7,541.83	$8,570.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,793.84 / $2,303.96 / $3,832.27	Facility		$1,793.84	$2,303.96	$3,832.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,840.46 / $2,833.57 / $7,700.00	Facility		$1,840.46	$2,833.57	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,250.58 / $5,071.34 / $14,470.08	Professional		$2,250.58	$5,071.34	$14,470.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,334.22 / $4,342.16	Professional		$174.52	$1,334.22	$4,342.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,793.84 / $2,303.96 / $3,832.27	Facility		$1,793.84	$2,303.96	$3,832.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,171.70 / $6,418.00 / $8,474.41	Professional		$4,171.70	$6,418.00	$8,474.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,038.44 / $29,038.44 / $29,038.44	Facility		$29,038.44	$29,038.44	$29,038.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,788.97 / $9,377.40 / $14,868.96	Professional		$3,788.97	$9,377.40	$14,868.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,749.13 / $6,749.13 / $6,749.13	Professional		$6,749.13	$6,749.13	$6,749.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,546.94 / $11,293.21 / $11,293.21	Professional		$6,546.94	$11,293.21	$11,293.21
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 $2,250.58 / $5,071.34 / $9,477.93	Professional		$2,250.58	$5,071.34	$9,477.93