Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.05 / $4,401.22 / $14,482.00	Facility		$1,972.05	$4,401.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,972.05 / $2,553.75 / $7,470.40	Professional		$1,972.05	$2,553.75	$7,470.40
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 $1,996.81 / $4,185.58 / $12,170.43	Professional		$1,996.81	$4,185.58	$12,170.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,514.85 / $6,444.54 / $9,886.10	Facility		$5,514.85	$6,444.54	$9,886.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,266.55 / $8,280.45 / $9,409.60	Professional		$3,266.55	$8,280.45	$9,409.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,972.05 / $2,756.36 / $4,525.66	Facility		$1,972.05	$2,756.36	$4,525.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,991.66 / $2,958.08 / $6,235.00	Facility		$1,991.66	$2,958.08	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,410.94 / $4,173.80 / $16,360.08	Professional		$2,410.94	$4,173.80	$16,360.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.18 / $1,830.48 / $4,715.69	Professional		$268.18	$1,830.48	$4,715.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,972.05 / $2,626.04 / $4,525.66	Facility		$1,972.05	$2,626.04	$4,525.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,596.14 / $5,600.23 / $8,360.04	Professional		$4,596.14	$5,600.23	$8,360.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,977.53 / $23,977.53 / $23,977.53	Facility		$23,977.53	$23,977.53	$23,977.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,160.03 / $10,357.04 / $16,360.08	Professional		$4,160.03	$10,357.04	$16,360.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,426.96 / $7,426.96 / $7,426.96	Professional		$7,426.96	$7,426.96	$7,426.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,899.53 / $12,035.10 / $12,399.15	Professional		$6,899.53	$12,035.10	$12,399.15
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 $2,282.80 / $4,142.82 / $9,383.49	Professional		$2,282.80	$4,142.82	$9,383.49