Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.71 / $3,557.63 / $14,482.00	Facility		$2,123.71	$3,557.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.66 / $2,123.71 / $6,340.49	Professional		$1,418.66	$2,123.71	$6,340.49
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 $1,513.87 / $4,615.43 / $10,284.33	Professional		$1,513.87	$4,615.43	$10,284.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,578.59 / $5,350.45 / $8,630.08	Facility		$4,578.59	$5,350.45	$8,630.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,355.94 / $5,336.24 / $7,267.16	Professional		$2,355.94	$5,336.24	$7,267.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,747.10 / $2,184.00 / $4,305.37	Facility		$1,747.10	$2,184.00	$4,305.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,747.10 / $4,305.37 / $15,126.00	Facility		$1,747.10	$4,305.37	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,797.62 / $4,855.55 / $11,808.84	Professional		$1,797.62	$4,855.55	$11,808.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.64 / $1,060.21 / $3,603.68	Professional		$154.64	$1,060.21	$3,603.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,739.29 / $2,184.00 / $4,305.37	Facility		$1,739.29	$2,184.00	$4,305.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,415.75 / $5,255.00 / $6,212.99	Professional		$3,415.75	$5,255.00	$6,212.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,426.87 / $8,320.29 / $13,000.00	Professional		$2,426.87	$8,320.29	$13,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,281.42 / $4,281.42 / $4,281.42	Professional		$4,281.42	$4,281.42	$4,281.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,847.25 / $10,414.17 / $10,414.17	Professional		$2,847.25	$10,414.17	$10,414.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $14,978.00	Facility		$7,301.00	$11,799.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,855.73 / $5,691.09 / $7,292.74	Professional		$1,855.73	$5,691.09	$7,292.74