Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.92 / $3,765.44 / $14,482.00	Facility		$2,033.92	$3,765.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,706.89 / $2,033.92 / $3,765.44	Professional		$1,706.89	$2,033.92	$3,765.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,822.53 / $4,172.14 / $10,693.38	Professional		$1,822.53	$4,172.14	$10,693.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,742.59 / $5,542.10 / $8,501.71	Facility		$4,742.59	$5,542.10	$8,501.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,096.32 / $6,310.47 / $7,551.34	Professional		$2,096.32	$6,310.47	$7,551.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,766.77 / $2,378.28 / $3,672.61	Facility		$1,766.77	$2,378.28	$3,672.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,766.77 / $2,567.21 / $5,133.79	Facility		$1,766.77	$2,567.21	$5,133.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,956.42 / $4,313.72 / $13,753.92	Professional		$1,956.42	$4,313.72	$13,753.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $1,603.83 / $3,918.53	Professional		$155.97	$1,603.83	$3,918.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,766.77 / $2,377.08 / $3,672.61	Facility		$1,766.77	$2,377.08	$3,672.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $4,441.10 / $7,639.32	Professional		$3,330.00	$4,441.10	$7,639.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,108.35 / $17,263.28 / $17,263.28	Facility		$2,108.35	$17,263.28	$17,263.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,976.25 / $9,113.75 / $13,753.92	Professional		$2,976.25	$9,113.75	$13,753.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,742.67 / $6,742.67 / $6,742.67	Professional		$6,742.67	$6,742.67	$6,742.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,368.60 / $9,220.19 / $9,220.19	Professional		$5,368.60	$9,220.19	$9,220.19
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 $1,817.65 / $3,737.64 / $8,225.16	Professional		$1,817.65	$3,737.64	$8,225.16