Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,660.56 / $5,584.54 / $14,482.00	Facility		$2,660.56	$5,584.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,563.66 / $2,761.59 / $12,658.40	Professional		$2,563.66	$2,761.59	$12,658.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,655.50 / $5,959.59 / $15,700.54	Professional		$2,655.50	$5,959.59	$15,700.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,028.74 / $8,213.62 / $12,599.93	Facility		$7,028.74	$8,213.62	$12,599.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,584.75 / $10,832.31 / $12,309.44	Professional		$3,584.75	$10,832.31	$12,309.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,482.02 / $3,510.33 / $5,879.84	Facility		$2,482.02	$3,510.33	$5,879.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,584.23 / $5,470.37 / $17,940.00	Facility		$2,584.23	$5,470.37	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,873.02 / $5,296.40 / $20,805.56	Professional		$2,873.02	$5,296.40	$20,805.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,650.60 / $5,245.02	Professional		$262.55	$1,650.60	$5,245.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,482.02 / $3,510.33 / $5,879.84	Facility		$2,482.02	$3,510.33	$5,879.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,459.35 / $6,652.01 / $9,718.58	Professional		$5,459.35	$6,652.01	$9,718.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,057.31 / $29,057.31 / $29,057.31	Facility		$29,057.31	$29,057.31	$29,057.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,067.97 / $13,241.00 / $20,805.56	Professional		$5,067.97	$13,241.00	$20,805.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,829.39 / $8,829.39 / $8,829.39	Professional		$8,829.39	$8,829.39	$8,829.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,928.70 / $13,597.50 / $17,238.96	Professional		$7,928.70	$13,597.50	$17,238.96
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,910.27 / $5,799.56 / $12,128.76	Professional		$2,910.27	$5,799.56	$12,128.76