Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.82 / $4,306.50 / $14,482.00	Facility		$2,050.82	$4,306.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,980.45 / $2,129.67 / $9,823.52	Professional		$1,980.45	$2,129.67	$9,823.52
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 $2,061.59 / $4,732.67 / $12,752.43	Professional		$2,061.59	$4,732.67	$12,752.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,407.62 / $6,319.23 / $9,693.87	Facility		$5,407.62	$6,319.23	$9,693.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,117.23 / $8,670.20 / $9,860.90	Professional		$3,117.23	$8,670.20	$9,860.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,050.82 / $3,062.40 / $4,785.00	Facility		$2,050.82	$3,062.40	$4,785.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,050.82 / $4,211.25 / $16,976.00	Facility		$2,050.82	$4,211.25	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,388.98 / $4,196.04 / $31,286.77	Professional		$2,388.98	$4,196.04	$31,286.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $1,664.64 / $4,415.82	Professional		$238.55	$1,664.64	$4,415.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,050.82 / $2,985.31 / $4,785.00	Facility		$2,050.82	$2,985.31	$4,785.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,217.20 / $5,138.50 / $7,670.76	Professional		$4,217.20	$5,138.50	$7,670.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,405.73 / $27,405.73 / $27,405.73	Facility		$27,405.73	$27,405.73	$27,405.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,906.09 / $10,275.65 / $31,286.77	Professional		$3,906.09	$10,275.65	$31,286.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,808.26 / $6,808.26 / $6,808.26	Professional		$6,808.26	$6,808.26	$6,808.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,329.66 / $12,888.00 / $13,286.81	Professional		$6,329.66	$12,888.00	$13,286.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,261.37 / $4,196.04 / $9,861.12	Professional		$2,261.37	$4,196.04	$9,861.12