Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,715.98 / $5,706.25 / $14,482.00	Facility		$2,715.98	$5,706.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,619.19 / $2,821.87 / $12,966.80	Professional		$2,619.19	$2,821.87	$12,966.80
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 $2,718.84 / $6,267.65 / $16,798.68	Professional		$2,718.84	$6,267.65	$16,798.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,172.01 / $8,381.07 / $12,856.77	Facility		$7,172.01	$8,381.07	$12,856.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,110.85 / $11,060.75 / $12,569.04	Professional		$4,110.85	$11,060.75	$12,569.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,715.98 / $3,806.38 / $6,002.32	Facility		$2,715.98	$3,806.38	$6,002.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,715.98 / $4,630.85 / $13,120.00	Facility		$2,715.98	$4,630.85	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,119.48 / $5,524.62 / $20,784.32	Professional		$3,119.48	$5,524.62	$20,784.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,677.75 / $5,339.31	Professional		$262.55	$1,677.75	$5,339.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,715.98 / $3,804.17 / $6,002.32	Facility		$2,715.98	$3,804.17	$6,002.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,582.85 / $6,802.49 / $10,154.77	Professional		$5,582.85	$6,802.49	$10,154.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,089.78 / $23,089.78 / $23,089.78	Facility		$23,089.78	$23,089.78	$23,089.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,174.84 / $13,563.55 / $20,784.32	Professional		$5,174.84	$13,563.55	$20,784.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,010.39 / $9,010.39 / $9,010.39	Professional		$9,010.39	$9,010.39	$9,010.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,503.58 / $13,889.93 / $17,602.53	Professional		$8,503.58	$13,889.93	$17,602.53
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 $2,983.98 / $5,425.42 / $12,342.83	Professional		$2,983.98	$5,425.42	$12,342.83