Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,044.11 / $5,678.93 / $14,482.00	Facility		$3,044.11	$5,678.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,586.30 / $3,044.11 / $8,207.53	Professional		$2,586.30	$3,044.11	$8,207.53
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 $2,556.65 / $6,244.32 / $15,973.85	Professional		$2,556.65	$6,244.32	$15,973.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,101.73 / $8,298.93 / $12,730.77	Facility		$7,101.73	$8,298.93	$12,730.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.44 / $8,979.35 / $11,338.21	Professional		$3,235.44	$8,979.35	$11,338.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,523.96 / $3,213.03 / $5,525.91	Facility		$2,523.96	$3,213.03	$5,525.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $3,447.64 / $6,252.62	Facility		$2,553.00	$3,447.64	$6,252.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,856.13 / $6,416.50 / $20,891.91	Professional		$2,856.13	$6,416.50	$20,891.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $1,945.84 / $5,956.70	Professional		$202.95	$1,945.84	$5,956.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,523.96 / $3,230.68 / $5,525.91	Facility		$2,523.96	$3,230.68	$5,525.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,245.80 / $6,996.15 / $11,470.32	Professional		$5,245.80	$6,996.15	$11,470.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,301.00 / $53,389.76 / $53,389.76	Facility		$3,301.00	$53,389.76	$53,389.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,590.09 / $12,744.60 / $20,891.91	Professional		$4,590.09	$12,744.60	$20,891.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,133.81 / $10,133.81 / $10,133.81	Professional		$10,133.81	$10,133.81	$10,133.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,174.62 / $13,843.99 / $13,843.99	Professional		$9,174.62	$13,843.99	$13,843.99
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 $2,803.81 / $5,348.40 / $11,546.61	Professional		$2,803.81	$5,348.40	$11,546.61