Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,004.30 / $4,475.85 / $14,482.00	Facility		$2,004.30	$4,475.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,004.30 / $2,374.46 / $8,454.40	Professional		$2,004.30	$2,374.46	$8,454.40
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 $2,108.36 / $4,908.49 / $12,363.35	Professional		$2,108.36	$4,908.49	$12,363.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,609.47 / $6,555.11 / $10,055.70	Facility		$5,609.47	$6,555.11	$10,055.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,315.89 / $8,417.82 / $9,565.70	Professional		$3,315.89	$8,417.82	$9,565.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,004.30 / $2,803.64 / $4,725.00	Facility		$2,004.30	$2,803.64	$4,725.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,004.30 / $3,006.45 / $6,235.00	Facility		$2,004.30	$3,006.45	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,450.12 / $4,317.10 / $16,623.59	Professional		$2,450.12	$4,317.10	$16,623.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $268.18 / $1,893.07 / $4,789.64	Professional		$268.18	$1,893.07	$4,789.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,004.30 / $2,665.83 / $4,725.00	Facility		$2,004.30	$2,665.83	$4,725.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,669.60 / $5,689.73 / $8,493.64	Professional		$4,669.60	$5,689.73	$8,493.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,772.71 / $29,772.71 / $29,772.71	Facility		$29,772.71	$29,772.71	$29,772.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,229.05 / $10,517.45 / $16,623.59	Professional		$4,229.05	$10,517.45	$16,623.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,544.65 / $7,544.65 / $7,544.65	Professional		$7,544.65	$7,544.65	$7,544.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,136.39 / $12,231.09 / $12,604.86	Professional		$7,136.39	$12,231.09	$12,604.86
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 $2,450.12 / $4,606.64 / $9,528.81	Professional		$2,450.12	$4,606.64	$9,528.81