Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,574.66 / $4,170.26 / $14,482.00	Facility		$2,574.66	$4,170.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,413.46 / $2,574.66 / $7,232.69	Professional		$1,413.46	$2,574.66	$7,232.69
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 $2,037.68 / $5,015.56 / $12,455.56	Professional		$2,037.68	$5,015.56	$12,455.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,205.77 / $6,083.35 / $9,812.23	Facility		$5,205.77	$6,083.35	$9,812.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,521.56 / $6,284.91 / $8,350.44	Professional		$3,521.56	$6,284.91	$8,350.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,038.80 / $3,223.46 / $3,984.92	Facility		$2,038.80	$3,223.46	$3,984.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,038.80 / $3,583.00 / $7,700.00	Facility		$2,038.80	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,435.02 / $6,148.42 / $11,964.45	Professional		$2,435.02	$6,148.42	$11,964.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,450.52 / $4,550.06	Professional		$138.70	$1,450.52	$4,550.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,038.80 / $3,223.46 / $3,984.92	Facility		$2,038.80	$3,223.46	$3,984.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,186.64 / $6,464.83 / $8,449.75	Professional		$4,186.64	$6,464.83	$8,449.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51,728.88 / $51,728.88 / $51,728.88	Facility		$51,728.88	$51,728.88	$51,728.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,607.75 / $10,145.90 / $19,176.00	Professional		$3,607.75	$10,145.90	$19,176.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,600.21 / $10,600.21 / $10,600.21	Professional		$10,600.21	$10,600.21	$10,600.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,258.07 / $14,083.44 / $14,083.44	Professional		$5,258.07	$14,083.44	$14,083.44
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 $2,429.51 / $6,719.16 / $10,385.18	Professional		$2,429.51	$6,719.16	$10,385.18