Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,224.83 / $5,446.64 / $14,482.00	Facility		$2,224.83	$5,446.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,223.54 / $2,335.83 / $9,003.23	Professional		$2,223.54	$2,335.83	$9,003.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,601.44 / $5,610.23 / $11,823.21	Professional		$2,601.44	$5,610.23	$11,823.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,855.72 / $8,011.45 / $12,289.77	Facility		$6,855.72	$8,011.45	$12,289.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,692.73 / $5,222.89 / $7,678.10	Professional		$2,692.73	$5,222.89	$7,678.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $3,642.02 / $7,729.62	Facility		$2,240.00	$3,642.02	$7,729.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,484.88 / $4,030.85 / $7,627.59	Facility		$2,484.88	$4,030.85	$7,627.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,539.55 / $4,255.49 / $11,403.88	Professional		$2,539.55	$4,255.49	$11,403.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.73 / $1,563.91 / $4,866.78	Professional		$255.73	$1,563.91	$4,866.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,240.00 / $3,642.02 / $7,729.62	Facility		$2,240.00	$3,642.02	$7,729.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,072.06 / $6,503.23 / $9,229.02	Professional		$5,072.06	$6,503.23	$9,229.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,936.10 / $18,769.91 / $18,769.91	Facility		$4,936.10	$18,769.91	$18,769.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,060.38 / $11,106.23 / $19,758.32	Professional		$3,060.38	$11,106.23	$19,758.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,908.82 / $4,908.82 / $4,908.82	Professional		$4,908.82	$4,908.82	$4,908.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,538.87 / $9,230.18 / $11,235.67	Professional		$4,538.87	$9,230.18	$11,235.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,539.55 / $4,132.50 / $9,888.12	Professional		$2,539.55	$4,132.50	$9,888.12