Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.84 / $4,580.21 / $14,482.00	Facility		$2,700.84	$4,580.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,797.76 / $2,700.84 / $7,907.31	Professional		$1,797.76	$2,700.84	$7,907.31
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 $2,231.01 / $6,186.92 / $13,358.77	Professional		$2,231.01	$6,186.92	$13,358.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,721.21 / $6,685.69 / $10,783.78	Facility		$5,721.21	$6,685.69	$10,783.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,867.73 / $6,834.56 / $9,131.20	Professional		$3,867.73	$6,834.56	$9,131.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,239.21 / $3,123.41 / $4,376.64	Facility		$2,239.21	$3,123.41	$4,376.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,239.21 / $3,346.78 / $7,700.00	Facility		$2,239.21	$3,346.78	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,671.66 / $7,138.71 / $15,799.28	Professional		$2,671.66	$7,138.71	$15,799.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.97 / $1,493.88 / $4,782.05	Professional		$195.97	$1,493.88	$4,782.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,239.21 / $3,123.41 / $4,376.64	Facility		$2,239.21	$3,123.41	$4,376.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,596.14 / $7,097.16 / $9,076.33	Professional		$4,596.14	$7,097.16	$9,076.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43,285.44 / $43,285.44 / $43,285.44	Facility		$43,285.44	$43,285.44	$43,285.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,963.60 / $11,131.90 / $16,968.24	Professional		$3,963.60	$11,131.90	$16,968.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.83 / $5,475.83 / $5,475.83	Professional		$5,475.83	$5,475.83	$5,475.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,231.30 / $13,338.39 / $13,338.39	Professional		$5,231.30	$13,338.39	$13,338.39
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 $2,497.04 / $6,101.57 / $9,951.92	Professional		$2,497.04	$6,101.57	$9,951.92