Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,884.39 / $4,087.87 / $14,482.00	Facility		$1,884.39	$4,087.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,884.39 / $2,431.81 / $8,817.00	Professional		$1,884.39	$2,431.81	$8,817.00
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 $1,989.73 / $4,594.64 / $11,620.84	Professional		$1,989.73	$4,594.64	$11,620.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,277.86 / $6,167.60 / $9,461.25	Facility		$5,277.86	$6,167.60	$9,461.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,037.00 / $7,917.39 / $8,997.04	Professional		$3,037.00	$7,917.39	$8,997.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,884.39 / $2,534.40 / $4,542.08	Facility		$1,884.39	$2,534.40	$4,542.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,897.25 / $2,826.59 / $6,235.00	Facility		$1,897.25	$2,826.59	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,291.29 / $3,950.72 / $15,628.72	Professional		$2,291.29	$3,950.72	$15,628.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $1,332.68 / $4,264.78	Professional		$173.05	$1,332.68	$4,264.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,884.39 / $2,521.14 / $4,542.08	Facility		$1,884.39	$2,521.14	$4,542.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,207.45 / $5,126.62 / $7,653.03	Professional		$4,207.45	$5,126.62	$7,653.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,711.36 / $40,711.36 / $40,711.36	Facility		$40,711.36	$40,711.36	$40,711.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,977.65 / $9,876.79 / $15,628.72	Professional		$3,977.65	$9,876.79	$15,628.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,091.53 / $7,091.53 / $7,091.53	Professional		$7,091.53	$7,091.53	$7,091.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,443.96 / $11,129.45 / $11,855.57	Professional		$6,443.96	$11,129.45	$11,855.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.27 / $3,508.40 / $8,657.02	Professional		$2,299.27	$3,508.40	$8,657.02