Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,176.44 / $4,546.13 / $14,482.00	Facility		$2,176.44	$4,546.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,082.85 / $2,237.46 / $10,449.50	Professional		$2,082.85	$2,237.46	$10,449.50
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 $2,202.29 / $4,663.41 / $13,474.09	Professional		$2,202.29	$4,663.41	$13,474.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,755.45 / $6,725.70 / $10,317.40	Facility		$5,755.45	$6,725.70	$10,317.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,882.84 / $8,819.68 / $10,022.36	Professional		$2,882.84	$8,819.68	$10,022.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,176.44 / $2,886.16 / $5,051.25	Facility		$2,176.44	$2,886.16	$5,051.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,176.44 / $4,478.06 / $13,250.00	Facility		$2,176.44	$4,478.06	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,220.40 / $4,394.02 / $24,626.21	Professional		$2,220.40	$4,394.02	$24,626.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $1,327.76 / $4,217.27	Professional		$223.38	$1,327.76	$4,217.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,176.44 / $2,852.20 / $5,051.25	Facility		$2,176.44	$2,852.20	$5,051.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,392.70 / $5,352.34 / $7,989.98	Professional		$4,392.70	$5,352.34	$7,989.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,864.72 / $20,864.72 / $20,864.72	Facility		$20,864.72	$20,864.72	$20,864.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,126.34 / $10,930.40 / $24,626.21	Professional		$4,126.34	$10,930.40	$24,626.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,227.14 / $7,227.14 / $7,227.14	Professional		$7,227.14	$7,227.14	$7,227.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,373.69 / $11,202.40 / $14,036.02	Professional		$6,373.69	$11,202.40	$14,036.02
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 $2,220.40 / $4,468.52 / $9,618.75	Professional		$2,220.40	$4,468.52	$9,618.75