Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.63 / $4,323.43 / $14,482.00	Facility		$2,051.63	$4,323.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,011.63 / $2,237.13 / $9,675.82	Professional		$2,011.63	$2,237.13	$9,675.82
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 $1,836.53 / $4,734.54 / $12,660.53	Professional		$1,836.53	$4,734.54	$12,660.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,424.74 / $6,339.24 / $9,724.56	Facility		$5,424.74	$6,339.24	$9,724.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,035.66 / $8,723.00 / $9,912.50	Professional		$3,035.66	$8,723.00	$9,912.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,051.63 / $2,571.14 / $4,534.10	Facility		$2,051.63	$2,571.14	$4,534.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,056.91 / $4,218.43 / $14,270.00	Facility		$2,056.91	$4,218.43	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,214.88 / $3,959.19 / $16,025.68	Professional		$2,214.88	$3,959.19	$16,025.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,344.44 / $4,364.89	Professional		$200.71	$1,344.44	$4,364.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,051.63 / $2,571.14 / $4,534.10	Facility		$2,051.63	$2,571.14	$4,534.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,497.35 / $5,479.85 / $8,180.33	Professional		$4,497.35	$5,479.85	$8,180.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,472.90 / $23,472.90 / $23,472.90	Facility		$23,472.90	$23,472.90	$23,472.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,808.73 / $10,121.15 / $16,025.68	Professional		$3,808.73	$10,121.15	$16,025.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,790.77 / $6,790.77 / $6,790.77	Professional		$6,790.77	$6,790.77	$6,790.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,812.78 / $12,276.43 / $13,356.32	Professional		$5,812.78	$12,276.43	$13,356.32
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,231.69 / $3,998.94 / $9,270.96	Professional		$2,231.69	$3,998.94	$9,270.96