Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,383.24 / $5,686.49 / $14,482.00	Facility		$3,383.24	$5,686.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,200.83 / $3,383.24 / $9,753.99	Professional		$2,200.83	$3,383.24	$9,753.99
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 $2,757.12 / $7,647.30 / $16,346.66	Professional		$2,757.12	$7,647.30	$16,346.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,242.30 / $8,463.20 / $13,650.84	Facility		$7,242.30	$8,463.20	$13,650.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,765.72 / $8,525.26 / $11,500.61	Professional		$3,765.72	$8,525.26	$11,500.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,780.06 / $3,768.00 / $5,433.76	Facility		$2,780.06	$3,768.00	$5,433.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,527.33 / $3,839.00 / $7,700.00	Facility		$2,527.33	$3,839.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,134.69 / $8,097.70 / $19,331.59	Professional		$3,134.69	$8,097.70	$19,331.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $1,721.01 / $5,548.26	Professional		$254.44	$1,721.01	$5,548.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,780.06 / $3,768.00 / $5,433.76	Facility		$2,780.06	$3,768.00	$5,433.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,443.75 / $8,405.99 / $11,182.82	Professional		$5,443.75	$8,405.99	$11,182.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,957.46 / $35,957.46 / $35,957.46	Facility		$35,957.46	$35,957.46	$35,957.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,877.21 / $13,620.70 / $20,744.16	Professional		$3,877.21	$13,620.70	$20,744.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,794.68 / $6,794.68 / $6,794.68	Professional		$6,794.68	$6,794.68	$6,794.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,454.10 / $16,637.91 / $16,637.91	Professional		$6,454.10	$16,637.91	$16,637.91
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 $2,936.19 / $8,097.70 / $12,424.64	Professional		$2,936.19	$8,097.70	$12,424.64