Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.21 / $886.21 / $17,823.00	Facility		$886.21	$886.21	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.21 / $1,450.65 / $2,389.48	Professional		$886.21	$1,450.65	$2,389.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,113.28 / $5,047.32 / $9,658.95	Professional		$2,113.28	$5,047.32	$9,658.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,297.20 / $3,853.04 / $6,214.81	Facility		$3,297.20	$3,853.04	$6,214.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.67 / $2,001.30 / $2,274.19	Professional		$1,430.67	$2,001.30	$2,274.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $886.21 / $1,342.40 / $2,522.98	Facility		$886.21	$1,342.40	$2,522.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,342.40 / $3,364.00 / $7,868.00	Facility		$1,342.40	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,106.64 / $5,319.26 / $9,851.52	Professional		$2,106.64	$5,319.26	$9,851.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $6,601.81	Professional		$50.00	$58.40	$6,601.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $886.21 / $1,342.40 / $2,522.98	Facility		$886.21	$1,342.40	$2,522.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,999.00 / $3,668.71 / $5,281.68	Professional		$1,999.00	$3,668.71	$5,281.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,822.54 / $18,822.54 / $18,822.54	Facility		$18,822.54	$18,822.54	$18,822.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,365.39 / $10,755.60 / $10,755.60	Professional		$6,365.39	$10,755.60	$10,755.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,366.67 / $6,366.67 / $6,366.67	Professional		$6,366.67	$6,366.67	$6,366.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,848.04 / $8,848.04 / $8,848.04	Professional		$8,848.04	$8,848.04	$8,848.04
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 $2,042.12 / $5,764.70 / $8,602.49	Professional		$2,042.12	$5,764.70	$8,602.49