Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,389.79 / $4,944.56 / $14,482.00	Facility		$2,389.79	$4,944.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,308.64 / $2,434.33 / $11,327.00	Professional		$2,308.64	$2,434.33	$11,327.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,906.00 / $22,165.00	Facility		$8,139.00	$13,906.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,391.82 / $5,514.89 / $14,792.83	Professional		$2,391.82	$5,514.89	$14,792.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,234.85 / $7,285.91 / $11,176.78	Facility		$6,234.85	$7,285.91	$11,176.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,672.77 / $9,619.12 / $10,930.81	Professional		$3,672.77	$9,619.12	$10,930.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,389.79 / $3,296.37 / $5,281.44	Facility		$2,389.79	$3,296.37	$5,281.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,389.79 / $4,444.63 / $13,120.00	Facility		$2,389.79	$4,444.63	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,753.55 / $4,997.66 / $19,665.09	Professional		$2,753.55	$4,997.66	$19,665.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,433.91 / $4,607.19	Professional		$262.55	$1,433.91	$4,607.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,389.79 / $3,127.08 / $5,281.44	Facility		$2,389.79	$3,127.08	$5,281.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,765.14 / $5,806.15 / $8,667.44	Professional		$4,765.14	$5,806.15	$8,667.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,559.28 / $25,559.28 / $25,559.28	Facility		$25,559.28	$25,559.28	$25,559.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,500.35 / $11,848.35 / $19,665.09	Professional		$4,500.35	$11,848.35	$19,665.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,934.49 / $7,934.49 / $7,934.49	Professional		$7,934.49	$7,934.49	$7,934.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,138.80 / $12,224.21 / $15,308.22	Professional		$8,138.80	$12,224.21	$15,308.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,664.12 / $4,739.34 / $10,782.00	Professional		$2,664.12	$4,739.34	$10,782.00