Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,578.87 / $4,186.26 / $14,482.00	Facility		$2,578.87	$4,186.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.57 / $2,578.87 / $7,090.75	Professional		$1,401.57	$2,578.87	$7,090.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,924.53 / $4,618.88 / $12,103.10	Professional		$1,924.53	$4,618.88	$12,103.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,231.89 / $6,113.89 / $9,861.49	Facility		$5,231.89	$6,113.89	$9,861.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,820.36 / $6,296.82 / $8,410.86	Professional		$3,820.36	$6,296.82	$8,410.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,046.62 / $2,821.41 / $4,000.20	Facility		$2,046.62	$2,821.41	$4,000.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,046.62 / $3,220.96 / $7,700.00	Facility		$2,046.62	$3,220.96	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,410.44 / $6,103.90 / $11,877.84	Professional		$2,410.44	$6,103.90	$11,877.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,447.50 / $4,564.20	Professional		$138.70	$1,447.50	$4,564.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,046.62 / $2,821.41 / $4,000.20	Facility		$2,046.62	$2,821.41	$4,000.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,199.64 / $6,484.91 / $8,465.77	Professional		$4,199.64	$6,484.91	$8,465.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,470.56 / $39,470.56 / $39,470.56	Facility		$39,470.56	$39,470.56	$39,470.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,918.98 / $10,072.45 / $15,445.92	Professional		$3,918.98	$10,072.45	$15,445.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,608.24 / $10,608.24 / $10,608.24	Professional		$10,608.24	$10,608.24	$10,608.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,375.94 / $14,110.13 / $14,110.13	Professional		$9,375.94	$14,110.13	$14,110.13
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 $2,417.39 / $6,191.58 / $10,310.00	Professional		$2,417.39	$6,191.58	$10,310.00