Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,636.69 / $4,435.70 / $14,482.00	Facility		$2,636.69	$4,435.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.94 / $2,636.69 / $7,561.86	Professional		$1,712.94	$2,636.69	$7,561.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,132.07 / $5,916.04 / $12,721.88	Professional		$2,132.07	$5,916.04	$12,721.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,659.93 / $6,614.08 / $10,668.28	Facility		$5,659.93	$6,614.08	$10,668.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,937.42 / $6,641.23 / $9,000.92	Professional		$2,937.42	$6,641.23	$9,000.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,168.56 / $2,669.00 / $4,238.55	Facility		$2,168.56	$2,669.00	$4,238.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,168.56 / $3,198.83 / $7,700.00	Facility		$2,168.56	$3,198.83	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,464.25 / $6,327.82 / $14,949.13	Professional		$2,464.25	$6,327.82	$14,949.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $1,319.37 / $4,280.93	Professional		$176.97	$1,319.37	$4,280.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,168.56 / $2,669.00 / $4,238.55	Facility		$2,168.56	$2,669.00	$4,238.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,237.35 / $6,543.12 / $8,637.35	Professional		$4,237.35	$6,543.12	$8,637.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,799.88 / $17,799.88 / $17,799.88	Facility		$17,799.88	$17,799.88	$17,799.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,020.37 / $10,532.90 / $16,118.24	Professional		$3,020.37	$10,532.90	$16,118.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,296.20 / $5,296.20 / $5,296.20	Professional		$5,296.20	$5,296.20	$5,296.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,031.06 / $12,961.07 / $12,961.07	Professional		$5,031.06	$12,961.07	$12,961.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,341.04 / $6,476.04 / $10,786.63	Professional		$2,341.04	$6,476.04	$10,786.63