Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.90 / $4,285.17 / $14,482.00	Facility		$2,113.90	$4,285.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,980.19 / $2,160.69 / $7,014.15	Professional		$1,980.19	$2,160.69	$7,014.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,071.82 / $5,489.77 / $14,306.47	Professional		$2,071.82	$5,489.77	$14,306.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,367.07 / $6,271.85 / $10,116.27	Facility		$5,367.07	$6,271.85	$10,116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,837.74 / $6,509.17 / $8,587.16	Professional		$2,837.74	$6,509.17	$8,587.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,113.90 / $2,900.55 / $8,105.69	Facility		$2,113.90	$2,900.55	$8,105.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,113.90 / $3,583.00 / $8,105.69	Facility		$2,113.90	$3,583.00	$8,105.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,440.91 / $5,660.27 / $14,188.90	Professional		$2,440.91	$5,660.27	$14,188.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $1,391.22 / $4,391.87	Professional		$119.56	$1,391.22	$4,391.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,113.90 / $2,900.55 / $8,105.69	Facility		$2,113.90	$2,900.55	$8,105.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,086.55 / $6,310.26 / $8,545.45	Professional		$4,086.55	$6,310.26	$8,545.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,964.95 / $21,964.95 / $21,964.95	Facility		$21,964.95	$21,964.95	$21,964.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,900.70 / $10,291.40 / $30,415.00	Professional		$2,900.70	$10,291.40	$30,415.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,717.12 / $10,717.12 / $10,717.12	Professional		$10,717.12	$10,717.12	$10,717.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,015.95 / $12,308.15 / $12,308.15	Professional		$10,015.95	$12,308.15	$12,308.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,384.41 / $6,294.55 / $10,075.89	Professional		$2,384.41	$6,294.55	$10,075.89