Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,371.17 / $5,290.02 / $14,482.00	Facility		$2,371.17	$5,290.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,371.17 / $2,815.58 / $9,992.26	Professional		$2,371.17	$2,815.58	$9,992.26
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 $2,515.13 / $5,806.97 / $14,633.43	Professional		$2,515.13	$5,806.97	$14,633.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,625.03 / $7,741.88 / $11,876.24	Facility		$6,625.03	$7,741.88	$11,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,942.27 / $9,952.95 / $11,310.18	Professional		$3,942.27	$9,952.95	$11,310.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,361.58 / $3,167.41 / $5,860.00	Facility		$2,361.58	$3,167.41	$5,860.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,371.17 / $4,268.12 / $16,976.00	Facility		$2,371.17	$4,268.12	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,947.11 / $5,164.06 / $19,678.08	Professional		$2,947.11	$5,164.06	$19,678.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $1,731.79 / $5,583.47	Professional		$249.45	$1,731.79	$5,583.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,361.58 / $3,167.41 / $5,860.00	Facility		$2,361.58	$3,167.41	$5,860.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,531.50 / $6,739.92 / $10,061.37	Professional		$5,531.50	$6,739.92	$10,061.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,255.22 / $35,255.22 / $35,255.22	Facility		$35,255.22	$35,255.22	$35,255.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,000.30 / $12,483.45 / $19,678.08	Professional		$5,000.30	$12,483.45	$19,678.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,929.95 / $8,929.95 / $8,929.95	Professional		$8,929.95	$8,929.95	$8,929.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,389.72 / $14,505.81 / $14,903.60	Professional		$7,389.72	$14,505.81	$14,903.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,915.32 / $4,816.30 / $11,235.11	Professional		$2,915.32	$4,816.30	$11,235.11