Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.42 / $4,268.54 / $14,482.00	Facility		$2,303.42	$4,268.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.02 / $2,303.42 / $6,003.05	Professional		$1,934.02	$2,303.42	$6,003.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,126.00 / $22,370.00	Facility		$7,084.00	$12,126.00	$22,370.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,064.92 / $4,724.97 / $12,103.44	Professional		$2,064.92	$4,724.97	$12,103.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,377.88 / $6,284.48 / $9,640.56	Facility		$5,377.88	$6,284.48	$9,640.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,387.73 / $7,158.87 / $8,557.45	Professional		$2,387.73	$7,158.87	$8,557.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,913.15 / $2,488.96 / $4,443.87	Facility		$1,913.15	$2,488.96	$4,443.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,934.02 / $2,778.94 / $5,777.13	Facility		$1,934.02	$2,778.94	$5,777.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,209.41 / $4,748.22 / $15,578.32	Professional		$2,209.41	$4,748.22	$15,578.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $1,425.53 / $4,381.15	Professional		$154.29	$1,425.53	$4,381.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,897.13 / $2,488.96 / $4,443.87	Facility		$1,897.13	$2,488.96	$4,443.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,773.40 / $5,032.46 / $8,657.16	Professional		$3,773.40	$5,032.46	$8,657.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,385.92 / $19,560.32 / $19,560.32	Facility		$2,385.92	$19,560.32	$19,560.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,385.51 / $10,295.35 / $15,578.32	Professional		$3,385.51	$10,295.35	$15,578.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,631.80 / $7,631.80 / $7,631.80	Professional		$7,631.80	$7,631.80	$7,631.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,576.54 / $10,448.69 / $10,448.69	Professional		$6,576.54	$10,448.69	$10,448.69
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 $2,142.42 / $4,223.97 / $9,327.59	Professional		$2,142.42	$4,223.97	$9,327.59