Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,323.33 / $3,906.34 / $14,482.00	Facility		$2,323.33	$3,906.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.13 / $2,323.33 / $6,665.35	Professional		$1,513.13	$2,323.33	$6,665.35
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 $1,877.03 / $5,225.89 / $11,213.58	Professional		$1,877.03	$5,225.89	$11,213.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,996.71 / $5,839.05 / $9,418.18	Facility		$4,996.71	$5,839.05	$9,418.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,586.86 / $5,851.82 / $7,941.48	Professional		$2,586.86	$5,851.82	$7,941.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,909.77 / $2,433.50 / $3,732.72	Facility		$1,909.77	$2,433.50	$3,732.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,909.77 / $2,814.23 / $7,700.00	Facility		$1,909.77	$2,814.23	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,192.73 / $5,574.96 / $13,155.59	Professional		$2,192.73	$5,574.96	$13,155.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $1,162.88 / $3,817.26	Professional		$176.97	$1,162.88	$3,817.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,909.77 / $2,433.50 / $3,732.72	Facility		$1,909.77	$2,433.50	$3,732.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,727.75 / $5,756.22 / $7,602.95	Professional		$3,727.75	$5,756.22	$7,602.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,671.95 / $15,671.95 / $15,671.95	Facility		$15,671.95	$15,671.95	$15,671.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,661.35 / $9,269.20 / $14,180.56	Professional		$2,661.35	$9,269.20	$14,180.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,668.29 / $4,668.29 / $4,668.29	Professional		$4,668.29	$4,668.29	$4,668.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,430.64 / $11,420.44 / $11,420.44	Professional		$4,430.64	$11,420.44	$11,420.44
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 $1,987.09 / $5,248.72 / $8,455.25	Professional		$1,987.09	$5,248.72	$8,455.25