Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.71 / $3,398.11 / $14,482.00	Facility		$2,099.71	$3,398.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.35 / $2,099.71 / $5,757.92	Professional		$1,181.35	$2,099.71	$5,757.92
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 $1,666.33 / $4,063.80 / $10,169.12	Professional		$1,666.33	$4,063.80	$10,169.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,213.64 / $4,923.97 / $7,942.19	Facility		$4,213.64	$4,923.97	$7,942.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,869.51 / $5,125.45 / $6,756.31	Professional		$2,869.51	$5,125.45	$6,756.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,661.30 / $2,332.86 / $3,265.55	Facility		$1,661.30	$2,332.86	$3,265.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,812.32 / $3,265.55 / $7,868.00	Facility		$1,812.32	$3,265.55	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,026.51 / $5,550.60 / $9,419.20	Professional		$2,026.51	$5,550.60	$9,419.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,532.13 / $3,850.65	Professional		$145.52	$1,532.13	$3,850.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,661.30 / $2,332.86 / $3,265.55	Facility		$1,661.30	$2,332.86	$3,265.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,443.70 / $5,317.60 / $6,890.91	Professional		$3,443.70	$5,317.60	$6,890.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,352.96 / $32,352.96 / $32,352.96	Facility		$32,352.96	$32,352.96	$32,352.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,942.18 / $8,341.95 / $12,685.52	Professional		$2,942.18	$8,341.95	$12,685.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,654.37 / $8,654.37 / $8,654.37	Professional		$8,654.37	$8,654.37	$8,654.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,715.97 / $11,485.23 / $11,485.23	Professional		$7,715.97	$11,485.23	$11,485.23
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 $2,026.51 / $5,927.87 / $7,424.34	Professional		$2,026.51	$5,927.87	$7,424.34