Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.52 / $3,956.78 / $14,482.00	Facility		$1,905.52	$3,956.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.52 / $1,956.95 / $8,986.69	Professional		$1,905.52	$1,956.95	$8,986.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,896.61 / $4,397.37 / $12,163.81	Professional		$1,896.61	$4,397.37	$12,163.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,020.14 / $5,866.43 / $8,999.25	Facility		$5,020.14	$5,866.43	$8,999.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,944.13 / $7,729.94 / $8,784.03	Professional		$2,944.13	$7,729.94	$8,784.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.52 / $2,813.71 / $4,396.43	Facility		$1,905.52	$2,813.71	$4,396.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.52 / $3,877.80 / $13,120.00	Facility		$1,905.52	$3,877.80	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,214.67 / $4,074.47 / $19,633.29	Professional		$2,214.67	$4,074.47	$19,633.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $1,160.53 / $3,713.33	Professional		$158.95	$1,160.53	$3,713.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,905.52 / $2,728.64 / $4,396.43	Facility		$1,905.52	$2,728.64	$4,396.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,793.40 / $4,622.10 / $6,899.90	Professional		$3,793.40	$4,622.10	$6,899.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,191.12 / $18,191.12 / $18,191.12	Facility		$18,191.12	$18,191.12	$18,191.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,616.51 / $9,400.29 / $19,633.29	Professional		$3,616.51	$9,400.29	$19,633.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,314.67 / $6,314.67 / $6,314.67	Professional		$6,314.67	$6,314.67	$6,314.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,163.39 / $9,849.76 / $12,301.77	Professional		$6,163.39	$9,849.76	$12,301.77
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 $2,123.58 / $4,093.32 / $8,554.27	Professional		$2,123.58	$4,093.32	$8,554.27