Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.80 / $4,267.37 / $14,482.00	Facility		$2,038.80	$4,267.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,959.82 / $2,099.73 / $9,766.16	Professional		$1,959.82	$2,099.73	$9,766.16
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 $2,038.39 / $4,704.91 / $12,609.78	Professional		$2,038.39	$4,704.91	$12,609.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,368.87 / $6,273.95 / $9,624.40	Facility		$5,368.87	$6,273.95	$9,624.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,034.47 / $8,267.37 / $9,394.74	Professional		$3,034.47	$8,267.37	$9,394.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,038.80 / $2,923.99 / $4,741.53	Facility		$2,038.80	$2,923.99	$4,741.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,038.80 / $4,183.84 / $13,120.00	Facility		$2,038.80	$4,183.84	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,247.44 / $4,106.68 / $19,923.77	Professional		$2,247.44	$4,106.68	$19,923.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.21 / $1,247.86 / $4,001.68	Professional		$230.21	$1,247.86	$4,001.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,038.80 / $2,923.99 / $4,741.53	Facility		$2,038.80	$2,923.99	$4,741.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,141.14 / $5,045.83 / $7,532.43	Professional		$4,141.14	$5,045.83	$7,532.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,616.08 / $19,616.08 / $19,616.08	Facility		$19,616.08	$19,616.08	$19,616.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,867.94 / $10,215.65 / $19,923.77	Professional		$3,867.94	$10,215.65	$19,923.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,763.56 / $6,763.56 / $6,763.56	Professional		$6,763.56	$6,763.56	$6,763.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,968.62 / $10,401.98 / $13,157.00	Professional		$5,968.62	$10,401.98	$13,157.00
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 $2,226.37 / $3,960.92 / $9,289.40	Professional		$2,226.37	$3,960.92	$9,289.40