Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $4,220.17	Facility		$4,220.17	$4,220.17	$4,220.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,220.17 / $4,220.17 / $5,275.21	Professional		$4,220.17	$4,220.17	$5,275.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.61 / $2,089.52 / $4,483.93	Professional		$1,025.61	$2,089.52	$4,483.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.93 / $5,134.34 / $8,099.49	Facility		$4,483.93	$5,134.34	$8,099.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,960.22 / $2,799.92 / $4,483.93	Professional		$1,960.22	$2,799.92	$4,483.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,529.78 / $4,220.17 / $5,275.21	Facility		$3,529.78	$4,220.17	$5,275.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,529.78 / $4,220.17 / $5,275.21	Facility		$3,529.78	$4,220.17	$5,275.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $10,220.54	Professional		$5,275.21	$5,275.21	$10,220.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $1,641.76	Professional		$55.00	$85.00	$1,641.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,529.78 / $4,220.17 / $5,275.21	Facility		$3,529.78	$4,220.17	$5,275.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,460.74 / $3,203.32 / $4,467.10	Professional		$1,460.74	$3,203.32	$4,467.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,187.97 / $7,187.97 / $7,187.97	Facility		$7,187.97	$7,187.97	$7,187.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,483.93 / $5,358.51 / $10,220.54	Professional		$4,483.93	$5,358.51	$10,220.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,052.19 / $2,052.19 / $2,052.19	Professional		$2,052.19	$2,052.19	$2,052.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,444.40 / $6,607.76 / $6,607.76	Professional		$2,444.40	$6,607.76	$6,607.76
United Facility/Professional Professional Modifier Low / Median / High Price $5,275.21 / $5,275.21 / $6,857.77	Professional		$5,275.21	$5,275.21	$6,857.77