Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,478.17 / $4,164.05 / $14,482.00	Facility		$2,478.17	$4,164.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.76 / $2,478.17 / $7,116.80	Professional		$1,615.76	$2,478.17	$7,116.80
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 $2,006.19 / $5,380.94 / $11,963.80	Professional		$2,006.19	$5,380.94	$11,963.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,325.62 / $6,223.41 / $10,038.14	Facility		$5,325.62	$6,223.41	$10,038.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,757.53 / $6,239.05 / $8,461.18	Professional		$2,757.53	$6,239.05	$8,461.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,035.76 / $2,899.47 / $3,978.98	Facility		$2,035.76	$2,899.47	$3,978.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,035.76 / $3,002.74 / $7,700.00	Facility		$2,035.76	$3,002.74	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,343.02 / $6,000.79 / $14,053.07	Professional		$2,343.02	$6,000.79	$14,053.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $1,242.94 / $4,077.15	Professional		$176.97	$1,242.94	$4,077.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,109.60 / $2,899.47 / $3,978.98	Facility		$2,109.60	$2,899.47	$3,978.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,974.75 / $6,137.63 / $8,131.82	Professional		$3,974.75	$6,137.63	$8,131.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,711.73 / $16,711.73 / $16,711.73	Facility		$16,711.73	$16,711.73	$16,711.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,837.46 / $9,901.54 / $15,123.84	Professional		$2,837.46	$9,901.54	$15,123.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,980.60 / $4,980.60 / $4,980.60	Professional		$4,980.60	$4,980.60	$4,980.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,722.96 / $12,176.13 / $12,176.13	Professional		$4,722.96	$12,176.13	$12,176.13
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 $2,003.02 / $5,598.56 / $8,851.99	Professional		$2,003.02	$5,598.56	$8,851.99