Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,211.46 / $3,577.99 / $14,482.00	Facility		$2,211.46	$3,577.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.66 / $2,211.46 / $6,062.67	Professional		$1,243.66	$2,211.46	$6,062.67
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 $1,761.55 / $4,274.51 / $10,708.86	Professional		$1,761.55	$4,274.51	$10,708.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,437.10 / $5,185.12 / $8,363.41	Facility		$4,437.10	$5,185.12	$8,363.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,021.42 / $5,397.10 / $7,113.12	Professional		$3,021.42	$5,397.10	$7,113.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,749.24 / $2,466.17 / $3,437.89	Facility		$1,749.24	$2,466.17	$3,437.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,908.26 / $3,364.00 / $7,868.00	Facility		$1,908.26	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,134.69 / $5,845.82 / $9,920.18	Professional		$2,134.69	$5,845.82	$9,920.18
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 $1,749.24 / $2,466.17 / $3,437.89	Facility		$1,749.24	$2,466.17	$3,437.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,627.00 / $5,600.65 / $7,256.13	Professional		$3,627.00	$5,600.65	$7,256.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,074.87 / $34,074.87 / $34,074.87	Facility		$34,074.87	$34,074.87	$34,074.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,098.12 / $8,786.15 / $13,360.08	Professional		$3,098.12	$8,786.15	$13,360.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,113.69 / $9,113.69 / $9,113.69	Professional		$9,113.69	$9,113.69	$9,113.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,124.43 / $12,093.93 / $12,093.93	Professional		$8,124.43	$12,093.93	$12,093.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,134.69 / $6,244.12 / $8,993.36	Professional		$2,134.69	$6,244.12	$8,993.36