Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,332.12 / $5,203.62 / $14,482.00	Facility		$2,332.12	$5,203.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,332.12 / $2,768.73 / $9,829.06	Professional		$2,332.12	$2,768.73	$9,829.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $22,519.00	Facility		$11,499.00	$16,241.00	$22,519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,475.33 / $5,711.31 / $14,393.31	Professional		$2,475.33	$5,711.31	$14,393.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,516.90 / $7,615.51 / $11,682.39	Facility		$6,516.90	$7,615.51	$11,682.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,875.79 / $9,789.79 / $11,124.76	Professional		$3,875.79	$9,789.79	$11,124.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,332.12 / $3,498.18 / $5,250.00	Facility		$2,332.12	$3,498.18	$5,250.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,359.81 / $4,197.82 / $16,976.00	Facility		$2,359.81	$4,197.82	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,938.01 / $5,093.34 / $19,353.91	Professional		$2,938.01	$5,093.34	$19,353.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $1,721.21 / $5,465.39	Professional		$249.45	$1,721.21	$5,465.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,332.12 / $3,474.86 / $5,250.00	Facility		$2,332.12	$3,474.86	$5,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,439.85 / $6,628.25 / $9,894.67	Professional		$5,439.85	$6,628.25	$9,894.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,369.80 / $28,369.80 / $28,369.80	Facility		$28,369.80	$28,369.80	$28,369.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,918.33 / $12,273.70 / $19,353.91	Professional		$4,918.33	$12,273.70	$19,353.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,783.45 / $8,783.45 / $8,783.45	Professional		$8,783.45	$8,783.45	$8,783.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,419.57 / $14,264.53 / $14,659.32	Professional		$8,419.57	$14,264.53	$14,659.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,318.30 / $14,028.00 / $19,562.00	Facility		$7,318.30	$14,028.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,865.88 / $4,742.93 / $10,766.63	Professional		$2,865.88	$4,742.93	$10,766.63