Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,741.44 / $5,692.46 / $14,482.00	Facility		$2,741.44	$5,692.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,632.97 / $2,790.12 / $12,966.00	Professional		$2,632.97	$2,790.12	$12,966.00
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 $2,733.02 / $6,326.40 / $16,949.09	Professional		$2,733.02	$6,326.40	$16,949.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,201.75 / $8,415.82 / $12,910.08	Facility		$7,201.75	$8,415.82	$12,910.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,226.64 / $11,113.60 / $12,629.09	Professional		$4,226.64	$11,113.60	$12,629.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,741.44 / $4,047.97 / $6,324.95	Facility		$2,741.44	$4,047.97	$6,324.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,741.44 / $5,566.91 / $13,120.00	Facility		$2,741.44	$5,566.91	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,043.09 / $5,497.76 / $32,079.30	Professional		$3,043.09	$5,497.76	$32,079.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.90 / $1,651.73 / $5,281.47	Professional		$294.90	$1,651.73	$5,281.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,741.44 / $3,915.37 / $6,324.95	Facility		$2,741.44	$3,915.37	$6,324.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,464.55 / $6,658.34 / $9,939.60	Professional		$5,464.55	$6,658.34	$9,939.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,178.32 / $26,178.32 / $26,178.32	Facility		$26,178.32	$26,178.32	$26,178.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,199.56 / $13,562.80 / $32,079.30	Professional		$5,199.56	$13,562.80	$32,079.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,091.04 / $9,091.04 / $9,091.04	Professional		$9,091.04	$9,091.04	$9,091.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,895.75 / $13,900.32 / $17,686.63	Professional		$8,895.75	$13,900.32	$17,686.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,991.53 / $5,728.84 / $12,423.52	Professional		$2,991.53	$5,728.84	$12,423.52