Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,835.89 / $4,585.68 / $14,482.00	Facility		$2,835.89	$4,585.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.37 / $2,835.89 / $8,737.53	Professional		$1,688.37	$2,835.89	$8,737.53
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 $2,262.21 / $5,511.54 / $13,734.63	Professional		$2,262.21	$5,511.54	$13,734.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,683.36 / $6,641.46 / $10,712.44	Facility		$5,683.36	$6,641.46	$10,712.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,872.35 / $6,917.36 / $9,110.09	Professional		$3,872.35	$6,917.36	$9,110.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,241.89 / $3,167.11 / $4,403.39	Facility		$2,241.89	$3,167.11	$4,403.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,241.89 / $3,576.38 / $7,868.00	Facility		$2,241.89	$3,576.38	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,742.17 / $7,255.52 / $12,733.73	Professional		$2,742.17	$7,255.52	$12,733.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,586.89 / $4,958.48	Professional		$138.70	$1,586.89	$4,958.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,241.89 / $3,167.11 / $4,403.39	Facility		$2,241.89	$3,167.11	$4,403.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,652.05 / $7,183.48 / $9,300.06	Professional		$4,652.05	$7,183.48	$9,300.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43,694.08 / $43,694.08 / $43,694.08	Facility		$43,694.08	$43,694.08	$43,694.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,970.80 / $11,281.40 / $24,892.75	Professional		$3,970.80	$11,281.40	$24,892.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,688.73 / $11,688.73 / $11,688.73	Professional		$11,688.73	$11,688.73	$11,688.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,665.45 / $15,500.66 / $15,500.66	Professional		$10,665.45	$15,500.66	$15,500.66
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 $2,742.17 / $6,836.53 / $10,040.45	Professional		$2,742.17	$6,836.53	$10,040.45