Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,914.11 / $4,897.89 / $14,482.00	Facility		$2,914.11	$4,897.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,896.84 / $2,914.11 / $8,368.29	Professional		$1,896.84	$2,914.11	$8,368.29
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 $2,367.01 / $6,558.87 / $14,069.26	Professional		$2,367.01	$6,558.87	$14,069.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,250.17 / $7,303.82 / $11,780.80	Facility		$6,250.17	$7,303.82	$11,780.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,243.49 / $7,337.99 / $9,932.93	Professional		$3,243.49	$7,337.99	$9,932.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,394.52 / $3,409.51 / $4,680.21	Facility		$2,394.52	$3,409.51	$4,680.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,536.76 / $7,700.00	Facility		$2,429.00	$3,536.76	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,768.62 / $7,179.14 / $16,580.16	Professional		$2,768.62	$7,179.14	$16,580.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $1,478.95 / $4,745.08	Professional		$189.90	$1,478.95	$4,745.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,612.21 / $3,409.51 / $4,680.21	Facility		$2,612.21	$3,409.51	$4,680.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,680.64 / $7,227.64 / $9,598.91	Professional		$4,680.64	$7,227.64	$9,598.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,912.53 / $30,912.53 / $30,912.53	Facility		$30,912.53	$30,912.53	$30,912.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,337.25 / $11,682.10 / $17,816.08	Professional		$3,337.25	$11,682.10	$17,816.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,857.12 / $5,857.12 / $5,857.12	Professional		$5,857.12	$5,857.12	$5,857.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,555.30 / $14,320.87 / $14,320.87	Professional		$5,555.30	$14,320.87	$14,320.87
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 $2,596.00 / $7,188.37 / $10,443.79	Professional		$2,596.00	$7,188.37	$10,443.79