Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,544.96 / $4,132.80 / $14,482.00	Facility		$2,544.96	$4,132.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,385.44 / $2,544.96 / $6,997.98	Professional		$1,385.44	$2,544.96	$6,997.98
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 $1,990.60 / $4,929.89 / $12,298.39	Professional		$1,990.60	$4,929.89	$12,298.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,166.12 / $6,037.02 / $9,737.50	Facility		$5,166.12	$6,037.02	$9,737.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,772.00 / $6,216.95 / $8,304.40	Professional		$3,772.00	$6,216.95	$8,304.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,020.48 / $2,786.84 / $3,949.12	Facility		$2,020.48	$2,786.84	$3,949.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,020.48 / $3,255.00 / $7,700.00	Facility		$2,020.48	$3,255.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,378.92 / $6,027.00 / $11,728.19	Professional		$2,378.92	$6,027.00	$11,728.19
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 $2,020.48 / $2,786.84 / $3,949.12	Facility		$2,020.48	$2,786.84	$3,949.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,145.70 / $6,401.60 / $8,358.39	Professional		$4,145.70	$6,401.60	$8,358.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,968.32 / $38,968.32 / $38,968.32	Facility		$38,968.32	$38,968.32	$38,968.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,869.27 / $9,945.54 / $15,249.36	Professional		$3,869.27	$9,945.54	$15,249.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,466.42 / $10,466.42 / $10,466.42	Professional		$10,466.42	$10,466.42	$10,466.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,269.35 / $13,931.13 / $13,931.13	Professional		$9,269.35	$13,931.13	$13,931.13
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 $2,378.92 / $6,027.00 / $8,851.54	Professional		$2,378.92	$6,027.00	$8,851.54