Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.67 / $5,033.35 / $14,482.00	Facility		$2,398.67	$5,033.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,315.40 / $2,488.92 / $11,489.50	Professional		$2,315.40	$2,488.92	$11,489.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,413.64 / $5,525.65 / $14,845.30	Professional		$2,413.64	$5,525.65	$14,845.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,321.36 / $7,387.01 / $11,331.86	Facility		$6,321.36	$7,387.01	$11,331.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,132.80 / $9,760.10 / $11,091.03	Professional		$3,132.80	$9,760.10	$11,091.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,237.05 / $2,863.42 / $5,168.35	Facility		$2,237.05	$2,863.42	$5,168.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,334.78 / $4,132.77 / $14,246.00	Facility		$2,334.78	$4,132.77	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,237.05 / $4,845.89 / $18,356.48	Professional		$2,237.05	$4,845.89	$18,356.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,478.98 / $4,678.20	Professional		$262.55	$1,478.98	$4,678.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,237.05 / $2,806.44 / $5,168.35	Facility		$2,237.05	$2,806.44	$5,168.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,928.95 / $6,005.74 / $8,965.37	Professional		$4,928.95	$6,005.74	$8,965.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,038.93 / $32,038.93 / $32,038.93	Facility		$32,038.93	$32,038.93	$32,038.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,566.32 / $12,018.30 / $18,356.48	Professional		$4,566.32	$12,018.30	$18,356.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,962.62 / $7,962.62 / $7,962.62	Professional		$7,962.62	$7,962.62	$7,962.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,312.31 / $12,289.83 / $15,532.58	Professional		$7,312.31	$12,289.83	$15,532.58
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,304.42 / $4,845.89 / $10,936.65	Professional		$2,304.42	$4,845.89	$10,936.65