Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,678.89 / $10,433.90 / $10,433.90	Facility		$4,678.89	$10,433.90	$10,433.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,854.35 / $5,848.63	Professional		$4,678.89	$4,854.35	$5,848.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,557.64 / $11,107.52 / $11,520.83	Facility		$9,557.64	$11,107.52	$11,520.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,673.93 / $6,421.62 / $17,938.72	Professional		$4,673.93	$6,421.62	$17,938.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $10,334.44 / $17,927.66	Facility		$4,971.34	$10,334.44	$17,927.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $5,842.78 / $8,416.03	Professional		$4,971.34	$5,842.78	$8,416.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,363.33 / $4,971.34 / $6,300.00	Facility		$3,363.33	$4,971.34	$6,300.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,037.07 / $1,037.07 / $7,749.44	Professional		$1,037.07	$1,037.07	$7,749.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,363.33 / $4,971.34 / $5,848.63	Facility		$3,363.33	$4,971.34	$5,848.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,425.63 / $24,212.69	Professional		$4,873.85	$5,425.63	$24,212.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,363.33 / $4,971.34 / $6,300.00	Facility		$3,363.33	$4,971.34	$6,300.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,037.07 / $1,037.07 / $7,749.44	Professional		$1,037.07	$1,037.07	$7,749.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,474.09 / $11,122.08 / $15,253.38	Professional		$6,474.09	$11,122.08	$15,253.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $24,957.02	Facility		$4,971.34	$4,971.34	$24,957.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $15,276.59 / $24,212.69	Professional		$4,971.34	$15,276.59	$24,212.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,574.66 / $7,253.47 / $7,253.47	Professional		$4,574.66	$7,253.47	$7,253.47
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $5,020.56 / $5,848.63	Professional		$4,873.85	$5,020.56	$5,848.63