Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,544.94 / $4,116.89 / $14,482.00	Facility		$2,544.94	$4,116.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.83 / $2,544.94 / $7,461.96	Professional		$1,431.83	$2,544.94	$7,461.96
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 $2,023.52 / $4,944.63 / $12,327.04	Professional		$2,023.52	$4,944.63	$12,327.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,103.93 / $5,964.36 / $9,620.29	Facility		$5,103.93	$5,964.36	$9,620.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,476.48 / $6,210.47 / $8,180.66	Professional		$3,476.48	$6,210.47	$8,180.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,012.70 / $2,832.93 / $3,954.30	Facility		$2,012.70	$2,832.93	$3,954.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,195.67 / $3,364.00 / $7,868.00	Facility		$2,195.67	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,459.58 / $6,508.70 / $11,425.90	Professional		$2,459.58	$6,508.70	$11,425.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,450.08 / $4,534.02	Professional		$138.70	$1,450.08	$4,534.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,012.70 / $2,832.93 / $3,954.30	Facility		$2,012.70	$2,832.93	$3,954.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,174.95 / $6,446.77 / $8,349.67	Professional		$4,174.95	$6,446.77	$8,349.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,220.80 / $39,220.80 / $39,220.80	Facility		$39,220.80	$39,220.80	$39,220.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,565.02 / $10,120.70 / $22,252.16	Professional		$3,565.02	$10,120.70	$22,252.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,490.84 / $10,490.84 / $10,490.84	Professional		$10,490.84	$10,490.84	$10,490.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,348.09 / $13,916.58 / $13,916.58	Professional		$9,348.09	$13,916.58	$13,916.58
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 $2,459.58 / $7,208.77 / $10,784.74	Professional		$2,459.58	$7,208.77	$10,784.74