Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,035.64 / $5,566.41 / $14,482.00	Facility		$3,035.64	$5,566.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.35 / $3,035.64 / $7,746.77	Professional		$2,511.35	$3,035.64	$7,746.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.91 / $6,226.96 / $15,956.97	Professional		$2,691.91	$6,226.96	$15,956.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,120.65 / $8,321.04 / $12,764.69	Facility		$7,120.65	$8,321.04	$12,764.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,890.66 / $8,967.19 / $11,213.03	Professional		$2,890.66	$8,967.19	$11,213.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,584.92 / $3,166.67 / $5,319.01	Facility		$2,584.92	$3,166.67	$5,319.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,512.84 / $3,339.85 / $6,184.90	Facility		$2,512.84	$3,339.85	$6,184.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,848.70 / $6,285.12 / $20,261.75	Professional		$2,848.70	$6,285.12	$20,261.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $1,822.07 / $5,617.22	Professional		$186.99	$1,822.07	$5,617.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,580.29 / $3,166.67 / $5,319.01	Facility		$2,580.29	$3,166.67	$5,319.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,908.00 / $6,545.64 / $11,343.67	Professional		$4,908.00	$6,545.64	$11,343.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,064.82 / $35,170.51 / $35,170.51	Facility		$3,064.82	$35,170.51	$35,170.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,798.22 / $13,278.80 / $20,261.75	Professional		$3,798.22	$13,278.80	$20,261.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,061.64 / $10,061.64 / $10,061.64	Professional		$10,061.64	$10,061.64	$10,061.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,992.84 / $13,691.17 / $13,691.17	Professional		$8,992.84	$13,691.17	$13,691.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,735.55 / $5,311.52 / $11,984.12	Professional		$2,735.55	$5,311.52	$11,984.12