Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.60 / $3,443.42 / $14,482.00	Facility		$2,123.60	$3,443.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.79 / $2,123.60 / $5,901.24	Professional		$1,057.79	$2,123.60	$5,901.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,821.00 / $7,344.00 / $10,382.04	Facility		$4,821.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,673.73 / $3,954.01 / $10,268.93	Professional		$1,673.73	$3,954.01	$10,268.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,302.85 / $5,028.22 / $8,110.34	Facility		$4,302.85	$5,028.22	$8,110.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,907.77 / $5,188.37 / $6,905.94	Professional		$2,907.77	$5,188.37	$6,905.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,683.45 / $2,343.21 / $3,290.38	Facility		$1,683.45	$2,343.21	$3,290.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,936.75 / $2,803.00 / $7,700.00	Facility		$1,936.75	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,010.58 / $5,054.92 / $9,836.57	Professional		$2,010.58	$5,054.92	$9,836.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,203.10 / $3,747.42	Professional		$112.28	$1,203.10	$3,747.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,683.45 / $2,343.21 / $3,290.38	Facility		$1,683.45	$2,343.21	$3,290.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,450.85 / $5,328.64 / $6,975.51	Professional		$3,450.85	$5,328.64	$6,975.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,492.16 / $32,492.16 / $32,492.16	Facility		$32,492.16	$32,492.16	$32,492.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,978.30 / $8,341.45 / $12,737.20	Professional		$2,978.30	$8,341.45	$12,737.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,739.28 / $8,739.28 / $8,739.28	Professional		$8,739.28	$8,739.28	$8,739.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,818.86 / $11,626.23 / $11,626.23	Professional		$7,818.86	$11,626.23	$11,626.23
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 $2,001.95 / $5,082.95 / $8,174.52	Professional		$2,001.95	$5,082.95	$8,174.52