Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,103.46 / $4,419.99 / $14,482.00	Facility		$2,103.46	$4,419.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,027.73 / $2,185.66 / $10,028.50	Professional		$2,027.73	$2,185.66	$10,028.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,097.94 / $4,854.16 / $13,006.27	Professional		$2,097.94	$4,854.16	$13,006.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,557.21 / $6,494.04 / $9,962.02	Facility		$5,557.21	$6,494.04	$9,962.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,181.39 / $8,905.39 / $10,119.76	Professional		$3,181.39	$8,905.39	$10,119.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,103.46 / $3,143.10 / $4,648.67	Facility		$2,103.46	$3,143.10	$4,648.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,103.46 / $4,327.85 / $16,976.00	Facility		$2,103.46	$4,327.85	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,414.67 / $4,272.17 / $21,191.92	Professional		$2,414.67	$4,272.17	$21,191.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.21 / $1,296.87 / $4,140.81	Professional		$230.21	$1,296.87	$4,140.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,103.46 / $3,057.62 / $4,648.67	Facility		$2,103.46	$3,057.62	$4,648.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,322.50 / $5,266.80 / $7,862.30	Professional		$4,322.50	$5,266.80	$7,862.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,762.16 / $35,762.16 / $35,762.16	Facility		$35,762.16	$35,762.16	$35,762.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,008.63 / $10,490.10 / $21,191.92	Professional		$4,008.63	$10,490.10	$21,191.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,976.23 / $6,976.23 / $6,976.23	Professional		$6,976.23	$6,976.23	$6,976.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,252.84 / $12,963.17 / $13,635.59	Professional		$6,252.84	$12,963.17	$13,635.59
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,354.51 / $4,237.68 / $9,545.99	Professional		$2,354.51	$4,237.68	$9,545.99