Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,202.35 / $3,563.82 / $14,482.00	Facility		$2,202.35	$3,563.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.24 / $2,202.35 / $6,449.95	Professional		$1,238.24	$2,202.35	$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 $1,743.82 / $4,277.06 / $10,665.50	Professional		$1,743.82	$4,277.06	$10,665.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,418.18 / $5,163.01 / $8,327.75	Facility		$4,418.18	$5,163.01	$8,327.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,009.44 / $5,374.88 / $7,747.39	Professional		$3,009.44	$5,374.88	$7,747.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,742.31 / $2,776.01 / $3,895.62	Facility		$1,742.31	$2,776.01	$3,895.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,026.78 / $3,364.00 / $7,700.00	Facility		$2,026.78	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,172.19 / $5,787.62 / $10,315.52	Professional		$2,172.19	$5,787.62	$10,315.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,614.56 / $4,016.97	Professional		$145.52	$1,614.56	$4,016.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,742.31 / $2,776.01 / $3,895.62	Facility		$1,742.31	$2,776.01	$3,895.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,613.35 / $5,579.57 / $7,226.27	Professional		$3,613.35	$5,579.57	$7,226.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,934.24 / $33,934.24 / $33,934.24	Facility		$33,934.24	$33,934.24	$33,934.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,085.37 / $8,747.60 / $13,305.12	Professional		$3,085.37	$8,747.60	$13,305.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,076.79 / $9,076.79 / $9,076.79	Professional		$9,076.79	$9,076.79	$9,076.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,092.25 / $12,044.25 / $12,044.25	Professional		$8,092.25	$12,044.25	$12,044.25
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 $2,125.32 / $5,787.62 / $8,623.46	Professional		$2,125.32	$5,787.62	$8,623.46