Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.21 / $4,573.08 / $14,482.00	Facility		$2,049.21	$4,573.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,049.21 / $2,323.92 / $8,638.04	Professional		$2,049.21	$2,323.92	$8,638.04
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 $2,180.86 / $5,018.50 / $12,647.22	Professional		$2,180.86	$5,018.50	$12,647.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,729.32 / $6,695.16 / $10,270.54	Facility		$5,729.32	$6,695.16	$10,270.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,380.78 / $8,602.76 / $9,775.86	Professional		$3,380.78	$8,602.76	$9,775.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,049.21 / $2,831.78 / $5,081.20	Facility		$2,049.21	$2,831.78	$5,081.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,049.21 / $3,073.83 / $6,235.00	Facility		$2,049.21	$3,073.83	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,484.61 / $4,306.89 / $16,999.52	Professional		$2,484.61	$4,306.89	$16,999.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $1,492.51 / $4,801.74	Professional		$239.28	$1,492.51	$4,801.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,049.21 / $2,730.35 / $5,081.20	Facility		$2,049.21	$2,730.35	$5,081.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,777.50 / $5,821.20 / $8,689.91	Professional		$4,777.50	$5,821.20	$8,689.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,915.15 / $24,915.15 / $24,915.15	Facility		$24,915.15	$24,915.15	$24,915.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,321.97 / $10,767.25 / $16,999.52	Professional		$4,321.97	$10,767.25	$16,999.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,717.89 / $7,717.89 / $7,717.89	Professional		$7,717.89	$7,717.89	$7,717.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,856.74 / $12,514.45 / $12,881.85	Professional		$6,856.74	$12,514.45	$12,881.85
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 $2,368.80 / $4,269.07 / $9,690.53	Professional		$2,368.80	$4,269.07	$9,690.53