Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.18 / $3,563.75 / $14,482.00	Facility		$1,593.18	$3,563.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,593.18 / $1,804.98 / $6,731.53	Professional		$1,593.18	$1,804.98	$6,731.53
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 $1,641.90 / $3,808.88 / $9,817.29	Professional		$1,641.90	$3,808.88	$9,817.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,478.57 / $5,233.56 / $8,028.41	Facility		$4,478.57	$5,233.56	$8,028.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,644.22 / $6,701.13 / $7,614.93	Professional		$2,644.22	$6,701.13	$7,614.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,593.18 / $2,276.50 / $3,563.75	Facility		$1,593.18	$2,276.50	$3,563.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,593.18 / $2,512.59 / $6,235.00	Facility		$1,593.18	$2,512.59	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,925.62 / $3,311.08 / $13,189.76	Professional		$1,925.62	$3,311.08	$13,189.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,143.55 / $3,680.65	Professional		$169.65	$1,143.55	$3,680.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,593.18 / $2,276.50 / $3,563.75	Facility		$1,593.18	$2,276.50	$3,563.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,695.25 / $4,502.52 / $6,721.38	Professional		$3,695.25	$4,502.52	$6,721.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,311.93 / $19,311.93 / $19,311.93	Facility		$19,311.93	$19,311.93	$19,311.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,366.60 / $8,277.70 / $13,189.76	Professional		$3,366.60	$8,277.70	$13,189.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,990.93 / $5,990.93 / $5,990.93	Professional		$5,990.93	$5,990.93	$5,990.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,463.18 / $9,607.41 / $10,034.29	Professional		$5,463.18	$9,607.41	$10,034.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,918.52 / $3,304.90 / $7,449.93	Professional		$1,918.52	$3,304.90	$7,449.93