Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,778.13 / $4,509.27 / $14,482.00	Facility		$2,778.13	$4,509.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.95 / $2,778.13 / $7,629.35	Professional		$1,510.95	$2,778.13	$7,629.35
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 $2,172.67 / $5,372.12 / $13,432.09	Professional		$2,172.67	$5,372.12	$13,432.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,635.60 / $6,585.65 / $10,622.42	Facility		$5,635.60	$6,585.65	$10,622.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,115.09 / $6,784.07 / $9,059.73	Professional		$4,115.09	$6,784.07	$9,059.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,204.53 / $3,041.74 / $4,308.85	Facility		$2,204.53	$3,041.74	$4,308.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,204.53 / $3,470.52 / $7,700.00	Facility		$2,204.53	$3,470.52	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,593.55 / $6,580.80 / $12,805.84	Professional		$2,593.55	$6,580.80	$12,805.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $1,581.65 / $4,912.19	Professional		$145.66	$1,581.65	$4,912.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,204.53 / $3,041.74 / $4,308.85	Facility		$2,204.53	$3,041.74	$4,308.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,524.64 / $6,986.76 / $9,120.85	Professional		$4,524.64	$6,986.76	$9,120.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42,530.72 / $42,530.72 / $42,530.72	Facility		$42,530.72	$42,530.72	$42,530.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,222.22 / $10,859.40 / $16,643.84	Professional		$4,222.22	$10,859.40	$16,643.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,431.29 / $11,431.29 / $11,431.29	Professional		$11,431.29	$11,431.29	$11,431.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,641.29 / $15,202.00 / $15,202.00	Professional		$9,641.29	$15,202.00	$15,202.00
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 $2,606.26 / $7,470.58 / $9,664.87	Professional		$2,606.26	$7,470.58	$9,664.87