Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,355.86 / $3,961.13 / $14,482.00	Facility		$2,355.86	$3,961.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.54 / $2,355.86 / $6,757.66	Professional		$1,534.54	$2,355.86	$6,757.66
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 $1,902.41 / $5,296.07 / $11,370.63	Professional		$1,902.41	$5,296.07	$11,370.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,065.20 / $5,919.08 / $9,547.27	Facility		$5,065.20	$5,919.08	$9,547.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.15 / $5,932.87 / $8,051.72	Professional		$2,623.15	$5,932.87	$8,051.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,936.55 / $2,433.50 / $3,785.08	Facility		$1,936.55	$2,433.50	$3,785.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,936.55 / $2,854.10 / $7,700.00	Facility		$1,936.55	$2,854.10	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,213.41 / $5,616.05 / $13,340.45	Professional		$2,213.41	$5,616.05	$13,340.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $1,210.08 / $3,817.26	Professional		$176.97	$1,210.08	$3,817.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,936.55 / $2,433.50 / $3,785.08	Facility		$1,936.55	$2,433.50	$3,785.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,780.40 / $5,837.52 / $7,709.45	Professional		$3,780.40	$5,837.52	$7,709.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,890.14 / $15,890.14 / $15,890.14	Facility		$15,890.14	$15,890.14	$15,890.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,698.22 / $9,399.45 / $14,379.20	Professional		$2,698.22	$9,399.45	$14,379.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,733.67 / $4,733.67 / $4,733.67	Professional		$4,733.67	$4,733.67	$4,733.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,492.80 / $11,578.65 / $11,578.65	Professional		$4,492.80	$11,578.65	$11,578.65
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 $2,067.17 / $5,780.10 / $8,403.11	Professional		$2,067.17	$5,780.10	$8,403.11