Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.06 / $4,583.02 / $14,482.00	Facility		$2,051.06	$4,583.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,927.94 / $2,177.71 / $6,239.95	Professional		$1,927.94	$2,177.71	$6,239.95
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 $2,121.40 / $5,783.79 / $16,627.32	Professional		$2,121.40	$5,783.79	$16,627.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,748.24 / $6,717.28 / $10,834.73	Facility		$5,748.24	$6,717.28	$10,834.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.81 / $8,618.53 / $9,793.79	Professional		$4,073.81	$8,618.53	$9,793.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,051.06 / $2,969.96 / $4,469.33	Facility		$2,051.06	$2,969.96	$4,469.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,105.46 / $3,364.00 / $7,700.00	Facility		$2,105.46	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,386.38 / $6,273.69 / $16,558.56	Professional		$2,386.38	$6,273.69	$16,558.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $1,943.89 / $5,188.96	Professional		$248.25	$1,943.89	$5,188.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,051.06 / $2,969.96 / $4,469.33	Facility		$2,051.06	$2,969.96	$4,469.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,772.95 / $7,343.00 / $9,687.85	Professional		$4,772.95	$7,343.00	$9,687.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,208.80 / $33,208.80 / $33,208.80	Facility		$33,208.80	$33,208.80	$33,208.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,329.89 / $10,730.85 / $17,002.00	Professional		$4,329.89	$10,730.85	$17,002.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,717.38 / $7,717.38 / $7,717.38	Professional		$7,717.38	$7,717.38	$7,717.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,481.53 / $12,905.42 / $12,905.42	Professional		$7,481.53	$12,905.42	$12,905.42
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 $2,386.38 / $7,211.13 / $10,845.88	Professional		$2,386.38	$7,211.13	$10,845.88