Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,065.94 / $3,350.43 / $14,482.00	Facility		$2,065.94	$3,350.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.05 / $2,065.94 / $5,664.06	Professional		$1,068.05	$2,065.94	$5,664.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,614.62 / $3,958.19 / $9,989.11	Professional		$1,614.62	$3,958.19	$9,989.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,184.80 / $4,890.27 / $7,887.83	Facility		$4,184.80	$4,890.27	$7,887.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,055.77 / $5,040.21 / $6,727.54	Professional		$3,055.77	$5,040.21	$6,727.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,637.99 / $2,260.46 / $3,251.77	Facility		$1,637.99	$2,260.46	$3,251.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,886.99 / $9,781.00 / $16,779.00	Facility		$1,886.99	$9,781.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,947.26 / $5,299.22 / $9,019.86	Professional		$1,947.26	$5,299.22	$9,019.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,159.01 / $3,652.79	Professional		$112.28	$1,159.01	$3,652.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,637.99 / $2,260.46 / $3,251.77	Facility		$1,637.99	$2,260.46	$3,251.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,364.40 / $5,195.14 / $6,776.33	Professional		$3,364.40	$5,195.14	$6,776.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,730.61 / $21,730.61 / $21,730.61	Facility		$21,730.61	$21,730.61	$21,730.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,136.91 / $8,078.60 / $12,370.72	Professional		$3,136.91	$8,078.60	$12,370.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,501.16 / $8,501.16 / $8,501.16	Professional		$8,501.16	$8,501.16	$8,501.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,400.18 / $11,294.32 / $11,294.32	Professional		$5,400.18	$11,294.32	$11,294.32
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,947.26 / $5,299.22 / $8,269.12	Professional		$1,947.26	$5,299.22	$8,269.12