Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,638.52 / $4,467.93 / $14,482.00	Facility		$2,638.52	$4,467.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,747.62 / $2,638.52 / $7,791.13	Professional		$1,747.62	$2,638.52	$7,791.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,196.16 / $6,101.11 / $13,142.32	Professional		$2,196.16	$6,101.11	$13,142.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,576.13 / $6,516.15 / $10,510.32	Facility		$5,576.13	$6,516.15	$10,510.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,772.93 / $6,669.84 / $8,894.96	Professional		$3,772.93	$6,669.84	$8,894.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,184.33 / $3,045.00 / $4,269.35	Facility		$2,184.33	$3,045.00	$4,269.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,184.33 / $3,273.17 / $7,700.00	Facility		$2,184.33	$3,273.17	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,596.53 / $7,041.55 / $15,543.39	Professional		$2,596.53	$7,041.55	$15,543.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $1,467.57 / $4,709.31	Professional		$195.97	$1,467.57	$4,709.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,184.33 / $3,045.00 / $4,269.35	Facility		$2,184.33	$3,045.00	$4,269.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,490.85 / $6,934.56 / $8,902.73	Professional		$4,490.85	$6,934.56	$8,902.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50,221.75 / $50,221.75 / $50,221.75	Facility		$50,221.75	$50,221.75	$50,221.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,868.06 / $10,951.60 / $16,579.20	Professional		$3,868.06	$10,951.60	$16,579.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,352.19 / $5,352.19 / $5,352.19	Professional		$5,352.19	$5,352.19	$5,352.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,115.00 / $13,016.90 / $13,016.90	Professional		$5,115.00	$13,016.90	$13,016.90
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 $2,457.34 / $6,163.91 / $9,989.92	Professional		$2,457.34	$6,163.91	$9,989.92