Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,265.56 / $3,665.09 / $14,482.00	Facility		$2,265.56	$3,665.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,327.08 / $2,265.56 / $6,889.75	Professional		$1,327.08	$2,265.56	$6,889.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,801.97 / $4,399.68 / $10,971.14	Professional		$1,801.97	$4,399.68	$10,971.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,544.35 / $5,310.43 / $8,565.54	Facility		$4,544.35	$5,310.43	$8,565.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,094.97 / $5,528.92 / $7,892.29	Professional		$3,094.97	$5,528.92	$7,892.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,791.82 / $2,730.00 / $3,502.20	Facility		$1,791.82	$2,730.00	$3,502.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,084.42 / $2,904.50 / $7,700.00	Facility		$2,084.42	$2,904.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,234.38 / $5,929.50 / $10,671.36	Professional		$2,234.38	$5,929.50	$10,671.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,282.81 / $3,983.27	Professional		$138.70	$1,282.81	$3,983.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,791.82 / $2,730.00 / $3,502.20	Facility		$1,791.82	$2,730.00	$3,502.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,716.05 / $5,738.15 / $7,433.37	Professional		$3,716.05	$5,738.15	$7,433.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,911.04 / $34,911.04 / $34,911.04	Facility		$34,911.04	$34,911.04	$34,911.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,173.80 / $9,006.49 / $13,687.76	Professional		$3,173.80	$9,006.49	$13,687.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,336.90 / $9,336.90 / $9,336.90	Professional		$9,336.90	$9,336.90	$9,336.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,432.94 / $12,389.43 / $12,389.43	Professional		$8,432.94	$12,389.43	$12,389.43
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 $2,186.12 / $5,465.87 / $9,210.20	Professional		$2,186.12	$5,465.87	$9,210.20