Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.71 / $4,889.89 / $14,482.00	Facility		$2,231.71	$4,889.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.58 / $2,231.71 / $8,168.67	Professional		$2,195.58	$2,231.71	$8,168.67
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 $2,243.66 / $6,393.17 / $17,894.56	Professional		$2,243.66	$6,393.17	$17,894.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,282.61 / $7,341.73 / $11,841.94	Facility		$6,282.61	$7,341.73	$11,841.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,346.57 / $9,302.00 / $10,570.45	Professional		$4,346.57	$9,302.00	$10,570.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,173.29 / $2,781.81 / $4,672.57	Facility		$2,173.29	$2,781.81	$4,672.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,195.58 / $3,478.50 / $7,700.00	Facility		$2,195.58	$3,478.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.66 / $5,650.58 / $17,438.58	Professional		$2,570.66	$5,650.58	$17,438.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.82 / $1,594.21 / $5,093.48	Professional		$218.82	$1,594.21	$5,093.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,173.29 / $2,781.81 / $4,672.57	Facility		$2,173.29	$2,781.81	$4,672.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,964.05 / $7,637.00 / $9,957.25	Professional		$4,964.05	$7,637.00	$9,957.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,198.76 / $35,198.76 / $35,198.76	Facility		$35,198.76	$35,198.76	$35,198.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,673.27 / $11,301.15 / $18,091.28	Professional		$4,673.27	$11,301.15	$18,091.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,486.86 / $8,486.86 / $8,486.86	Professional		$8,486.86	$8,486.86	$8,486.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,982.49 / $13,928.87 / $13,928.87	Professional		$7,982.49	$13,928.87	$13,928.87
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 $2,478.85 / $6,847.57 / $11,299.36	Professional		$2,478.85	$6,847.57	$11,299.36