Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.44 / $4,967.17 / $14,482.00	Facility		$2,225.44	$4,967.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.44 / $2,639.79 / $9,382.43	Professional		$2,225.44	$2,639.79	$9,382.43
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 $2,365.71 / $5,450.08 / $13,732.60	Professional		$2,365.71	$5,450.08	$13,732.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,223.13 / $7,272.23 / $11,155.78	Facility		$6,223.13	$7,272.23	$11,155.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,789.80 / $9,344.62 / $10,618.90	Professional		$3,789.80	$9,344.62	$10,618.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,225.44 / $3,338.18 / $5,250.00	Facility		$2,225.44	$3,338.18	$5,250.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,225.44 / $3,404.94 / $6,235.00	Facility		$2,225.44	$3,404.94	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,801.57 / $4,854.55 / $18,467.84	Professional		$2,801.57	$4,854.55	$18,467.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $1,626.50 / $5,232.44	Professional		$239.28	$1,626.50	$5,232.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,225.44 / $3,315.92 / $5,250.00	Facility		$2,225.44	$3,315.92	$5,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,190.25 / $6,324.12 / $9,440.67	Professional		$5,190.25	$6,324.12	$9,440.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,083.37 / $33,083.37 / $33,083.37	Facility		$33,083.37	$33,083.37	$33,083.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,694.68 / $11,700.55 / $18,467.84	Professional		$4,694.68	$11,700.55	$18,467.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,380.26 / $8,380.26 / $8,380.26	Professional		$8,380.26	$8,380.26	$8,380.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,026.53 / $13,602.11 / $13,992.71	Professional		$8,026.53	$13,602.11	$13,992.71
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 $2,730.18 / $4,686.43 / $10,530.50	Professional		$2,730.18	$4,686.43	$10,530.50