Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.46 / $4,888.47 / $14,482.00	Facility		$2,191.46	$4,888.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,191.46 / $2,532.62 / $8,314.84	Professional		$2,191.46	$2,532.62	$8,314.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,324.65 / $6,504.98 / $17,744.96	Professional		$2,324.65	$6,504.98	$17,744.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,122.21 / $7,154.29 / $11,539.61	Facility		$6,122.21	$7,154.29	$11,539.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,345.31 / $9,197.83 / $10,452.08	Professional		$4,345.31	$9,197.83	$10,452.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,191.46 / $3,254.51 / $4,671.22	Facility		$2,191.46	$3,254.51	$4,671.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,254.16 / $3,470.67 / $7,700.00	Facility		$2,254.16	$3,470.67	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,788.31 / $6,744.99 / $17,795.41	Professional		$2,788.31	$6,744.99	$17,795.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $1,642.79 / $5,280.25	Professional		$234.61	$1,642.79	$5,280.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,191.46 / $3,254.51 / $4,671.22	Facility		$2,191.46	$3,254.51	$4,671.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,112.25 / $7,865.00 / $10,423.99	Professional		$5,112.25	$7,865.00	$10,423.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,542.19 / $35,542.19 / $35,542.19	Facility		$35,542.19	$35,542.19	$35,542.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,620.93 / $11,532.40 / $18,185.04	Professional		$4,620.93	$11,532.40	$18,185.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,254.81 / $8,254.81 / $8,254.81	Professional		$8,254.81	$8,254.81	$8,254.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,980.18 / $13,772.89 / $13,772.89	Professional		$7,980.18	$13,772.89	$13,772.89
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 $2,788.31 / $7,093.93 / $12,754.60	Professional		$2,788.31	$7,093.93	$12,754.60