Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,666.94 / $4,997.10 / $14,482.00	Facility		$2,666.94	$4,997.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,316.78 / $2,666.94 / $7,207.73	Professional		$2,316.78	$2,666.94	$7,207.73
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 $2,397.38 / $5,470.65 / $14,088.80	Professional		$2,397.38	$5,470.65	$14,088.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,247.47 / $7,300.66 / $11,199.39	Facility		$6,247.47	$7,300.66	$11,199.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,805.49 / $8,340.67 / $9,988.99	Professional		$2,805.49	$8,340.67	$9,988.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,443.03 / $3,116.59 / $5,395.13	Facility		$2,443.03	$3,116.59	$5,395.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,376.27 / $3,356.33 / $7,700.00	Facility		$2,376.27	$3,356.33	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,683.98 / $6,026.95 / $18,414.96	Professional		$2,683.98	$6,026.95	$18,414.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $2,235.79 / $5,554.59	Professional		$209.83	$2,235.79	$5,554.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,424.66 / $3,116.59 / $5,328.75	Facility		$2,424.66	$3,116.59	$5,328.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,615.80 / $6,155.94 / $10,105.37	Professional		$4,615.80	$6,155.94	$10,105.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,910.22 / $46,979.36 / $46,979.36	Facility		$2,910.22	$46,979.36	$46,979.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,313.29 / $11,976.75 / $18,414.96	Professional		$4,313.29	$11,976.75	$18,414.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,883.65 / $8,883.65 / $8,883.65	Professional		$8,883.65	$8,883.65	$8,883.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,073.12 / $12,196.55 / $12,196.55	Professional		$8,073.12	$12,196.55	$12,196.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,624.33 / $5,026.16 / $10,809.02	Professional		$2,624.33	$5,026.16	$10,809.02