Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.76 / $3,643.22 / $14,482.00	Facility		$2,243.76	$3,643.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.24 / $2,243.76 / $6,449.95	Professional		$1,238.24	$2,243.76	$6,449.95
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 $1,801.52 / $4,349.60 / $10,865.37	Professional		$1,801.52	$4,349.60	$10,865.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,506.50 / $5,266.20 / $8,494.20	Facility		$4,506.50	$5,266.20	$8,494.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,076.49 / $5,476.10 / $7,341.73	Professional		$3,076.49	$5,476.10	$7,341.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,781.13 / $2,825.15 / $3,885.00	Facility		$1,781.13	$2,825.15	$3,885.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,068.48 / $3,364.00 / $7,700.00	Facility		$2,068.48	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,192.62 / $5,575.34 / $10,518.70	Professional		$2,192.62	$5,575.34	$10,518.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,640.40 / $4,086.22	Professional		$145.52	$1,640.40	$4,086.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,781.13 / $2,825.15 / $3,885.00	Facility		$1,781.13	$2,825.15	$3,885.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,687.45 / $5,693.99 / $7,362.35	Professional		$3,687.45	$5,693.99	$7,362.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,537.92 / $34,537.92 / $34,537.92	Facility		$34,537.92	$34,537.92	$34,537.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,143.48 / $8,919.90 / $13,540.88	Professional		$3,143.48	$8,919.90	$13,540.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,246.89 / $9,246.89 / $9,246.89	Professional		$9,246.89	$9,246.89	$9,246.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,258.07 / $12,271.05 / $12,271.05	Professional		$5,258.07	$12,271.05	$12,271.05
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 $2,164.48 / $5,575.34 / $8,810.45	Professional		$2,164.48	$5,575.34	$8,810.45