Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.58 / $3,999.44 / $14,482.00	Facility		$1,824.58	$3,999.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.66 / $1,824.58 / $6,812.86	Professional		$1,686.66	$1,824.58	$6,812.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,895.24 / $5,068.17 / $10,984.85	Professional		$1,895.24	$5,068.17	$10,984.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,108.45 / $5,969.63 / $9,628.79	Facility		$5,108.45	$5,969.63	$9,628.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,648.52 / $5,638.66 / $8,094.67	Professional		$2,648.52	$5,638.66	$8,094.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,824.58 / $2,653.34 / $3,913.81	Facility		$1,824.58	$2,653.34	$3,913.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,955.28 / $5,266.00 / $15,126.00	Facility		$1,955.28	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,241.36 / $4,718.80 / $12,548.80	Professional		$2,241.36	$4,718.80	$12,548.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $1,227.73 / $3,992.42	Professional		$127.76	$1,227.73	$3,992.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,824.58 / $2,653.34 / $3,913.81	Facility		$1,824.58	$2,653.34	$3,913.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,827.20 / $5,909.79 / $6,961.38	Professional		$3,827.20	$5,909.79	$6,961.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,639.84 / $27,639.84 / $27,639.84	Facility		$27,639.84	$27,639.84	$27,639.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,732.87 / $9,437.60 / $14,612.80	Professional		$2,732.87	$9,437.60	$14,612.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,424.43 / $5,424.43 / $5,424.43	Professional		$5,424.43	$5,424.43	$5,424.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,084.85 / $11,014.28 / $11,014.28	Professional		$6,084.85	$11,014.28	$11,014.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,799.00 / $16,373.00	Facility		$5,266.00	$11,799.00	$16,373.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,211.23 / $4,718.80 / $9,108.44	Professional		$2,211.23	$4,718.80	$9,108.44