Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,351.09 / $4,911.21 / $14,482.00	Facility		$2,351.09	$4,911.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,251.44 / $2,417.48 / $11,297.10	Professional		$2,251.44	$2,417.48	$11,297.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,380.81 / $5,117.56 / $14,554.38	Professional		$2,380.81	$5,117.56	$14,554.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,211.42 / $7,258.54 / $11,134.78	Facility		$6,211.42	$7,258.54	$11,134.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,283.41 / $9,525.70 / $10,824.68	Professional		$3,283.41	$9,525.70	$10,824.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,351.09 / $3,119.87 / $5,195.91	Facility		$2,351.09	$3,119.87	$5,195.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,351.09 / $4,834.34 / $13,250.00	Facility		$2,351.09	$4,834.34	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,468.41 / $4,750.45 / $18,636.00	Professional		$2,468.41	$4,750.45	$18,636.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.21 / $1,429.53 / $4,589.66	Professional		$230.21	$1,429.53	$4,589.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,351.09 / $3,087.54 / $5,195.91	Facility		$2,351.09	$3,087.54	$5,195.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,749.55 / $5,787.14 / $8,639.07	Professional		$4,749.55	$5,787.14	$8,639.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,817.44 / $33,817.44 / $33,817.44	Facility		$33,817.44	$33,817.44	$33,817.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,456.66 / $11,817.05 / $18,636.00	Professional		$4,456.66	$11,817.05	$18,636.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,806.60 / $7,806.60 / $7,806.60	Professional		$7,806.60	$7,806.60	$7,806.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,899.65 / $12,101.15 / $15,159.60	Professional		$6,899.65	$12,101.15	$15,159.60
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 $2,468.41 / $4,585.02 / $10,824.42	Professional		$2,468.41	$4,585.02	$10,824.42