Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,528.56 / $5,250.92 / $14,482.00	Facility		$2,528.56	$5,250.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,427.58 / $2,574.46 / $11,952.50	Professional		$2,427.58	$2,574.46	$11,952.50
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 $2,520.14 / $5,835.15 / $15,631.70	Professional		$2,520.14	$5,835.15	$15,631.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,646.66 / $7,767.15 / $11,915.01	Facility		$6,646.66	$7,767.15	$11,915.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,900.34 / $10,252.09 / $11,650.10	Professional		$3,900.34	$10,252.09	$11,650.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,528.56 / $3,733.98 / $5,834.35	Facility		$2,528.56	$3,733.98	$5,834.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,528.56 / $5,137.21 / $13,120.00	Facility		$2,528.56	$5,137.21	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,898.98 / $5,283.61 / $27,619.68	Professional		$2,898.98	$5,283.61	$27,619.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.73 / $1,517.53 / $4,853.09	Professional		$255.73	$1,517.53	$4,853.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,528.56 / $3,613.25 / $5,834.35	Facility		$2,528.56	$3,613.25	$5,834.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,040.10 / $6,141.17 / $9,167.54	Professional		$5,040.10	$6,141.17	$9,167.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,144.96 / $24,144.96 / $24,144.96	Facility		$24,144.96	$24,144.96	$24,144.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,796.51 / $12,502.65 / $27,619.68	Professional		$4,796.51	$12,502.65	$27,619.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,384.44 / $8,384.44 / $8,384.44	Professional		$8,384.44	$8,384.44	$8,384.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,569.98 / $12,821.97 / $16,315.60	Professional		$8,569.98	$12,821.97	$16,315.60
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 $2,839.58 / $5,153.76 / $11,377.41	Professional		$2,839.58	$5,153.76	$11,377.41