Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,542.69 / $4,273.18 / $14,482.00	Facility		$2,542.69	$4,273.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,656.74 / $2,542.69 / $7,304.42	Professional		$1,656.74	$2,542.69	$7,304.42
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 $2,058.67 / $5,715.56 / $12,276.65	Professional		$2,058.67	$5,715.56	$12,276.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,462.59 / $6,383.47 / $10,296.31	Facility		$5,462.59	$6,383.47	$10,296.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,829.80 / $6,402.59 / $8,680.21	Professional		$2,829.80	$6,402.59	$8,680.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.11 / $2,542.69 / $4,083.26	Facility		$2,089.11	$2,542.69	$4,083.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.11 / $3,081.74 / $7,700.00	Facility		$2,089.11	$3,081.74	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,372.91 / $6,062.06 / $14,424.36	Professional		$2,372.91	$6,062.06	$14,424.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $1,291.88 / $4,204.19	Professional		$176.97	$1,291.88	$4,204.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,089.11 / $2,542.69 / $4,083.26	Facility		$2,089.11	$2,542.69	$4,083.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,080.05 / $6,300.22 / $8,344.31	Professional		$4,080.05	$6,300.22	$8,344.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,152.87 / $17,152.87 / $17,152.87	Facility		$17,152.87	$17,152.87	$17,152.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,911.83 / $10,163.15 / $15,524.88	Professional		$2,911.83	$10,163.15	$15,524.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,110.85 / $5,110.85 / $5,110.85	Professional		$5,110.85	$5,110.85	$5,110.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,846.72 / $12,495.28 / $12,495.28	Professional		$4,846.72	$12,495.28	$12,495.28
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 $2,405.60 / $6,951.59 / $8,908.00	Professional		$2,405.60	$6,951.59	$8,908.00