Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,817.60 / $12,973.20 / $12,973.20	Facility		$5,817.60	$12,973.20	$12,973.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $5,963.04 / $7,272.00	Professional		$5,817.60	$5,963.04	$7,272.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,904.67 / $4,537.85 / $4,706.70	Facility		$3,904.67	$4,537.85	$4,706.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $755.38 / $3,903.91 / $6,060.00	Professional		$755.38	$3,903.91	$6,060.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,235.62 / $3,239.83 / $6,181.20	Facility		$2,235.62	$3,239.83	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.91 / $2,300.73 / $6,181.20	Professional		$1,369.91	$2,300.73	$6,181.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $826.51 / $5,817.60 / $7,272.00	Facility		$826.51	$5,817.60	$7,272.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $558.75 / $558.75	Professional		$558.75	$558.75	$558.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $826.51 / $5,890.32 / $7,272.00	Facility		$826.51	$5,890.32	$7,272.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,746.05 / $25,314.69	Professional		$6,060.00	$6,746.05	$25,314.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $14,313.09	Professional		$50.00	$70.00	$14,313.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $826.51 / $5,817.60 / $7,272.00	Facility		$826.51	$5,817.60	$7,272.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $558.75 / $558.75 / $558.75	Professional		$558.75	$558.75	$558.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,137.20 / $1,678.32 / $2,526.71	Professional		$1,137.20	$1,678.32	$2,526.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $26,506.30	Facility		$6,181.20	$6,181.20	$26,506.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $7,272.00 / $25,314.69	Professional		$6,181.20	$7,272.00	$25,314.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,345.32 / $1,702.23 / $2,459.73	Professional		$1,345.32	$1,702.23	$2,459.73
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,242.41 / $7,272.00	Professional		$6,060.00	$6,242.41	$7,272.00