Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,383.46 / $4,986.52 / $14,482.00	Facility		$2,383.46	$4,986.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,292.40 / $2,453.05 / $11,443.80	Professional		$2,292.40	$2,453.05	$11,443.80
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 $2,393.82 / $5,409.89 / $14,747.05	Professional		$2,393.82	$5,409.89	$14,747.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,271.80 / $7,329.09 / $11,243.01	Facility		$6,271.80	$7,329.09	$11,243.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,606.94 / $9,663.53 / $10,981.29	Professional		$3,606.94	$9,663.53	$10,981.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,383.46 / $3,493.57 / $5,540.58	Facility		$2,383.46	$3,493.57	$5,540.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,383.46 / $4,885.88 / $13,120.00	Facility		$2,383.46	$4,885.88	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,656.03 / $4,952.39 / $23,227.73	Professional		$2,656.03	$4,952.39	$23,227.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,474.65 / $4,691.76	Professional		$262.55	$1,474.65	$4,691.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,383.46 / $3,453.80 / $5,540.58	Facility		$2,383.46	$3,453.80	$5,540.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,840.55 / $5,898.02 / $8,804.59	Professional		$4,840.55	$5,898.02	$8,804.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,939.04 / $22,939.04 / $22,939.04	Facility		$22,939.04	$22,939.04	$22,939.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,521.13 / $11,970.50 / $23,227.73	Professional		$4,521.13	$11,970.50	$23,227.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,909.93 / $7,909.93 / $7,909.93	Professional		$7,909.93	$7,909.93	$7,909.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,721.80 / $12,172.70 / $15,378.90	Professional		$6,721.80	$12,172.70	$15,378.90
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 $2,539.73 / $4,656.80 / $10,893.16	Professional		$2,539.73	$4,656.80	$10,893.16