Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,619.38 / $5,502.40 / $14,482.00	Facility		$2,619.38	$5,502.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,525.03 / $2,720.59 / $12,482.50	Professional		$2,525.03	$2,720.59	$12,482.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,621.71 / $5,950.65 / $15,448.38	Professional		$2,621.71	$5,950.65	$15,448.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,920.60 / $8,087.27 / $12,406.08	Facility		$6,920.60	$8,087.27	$12,406.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,626.68 / $10,669.05 / $12,123.93	Professional		$3,626.68	$10,669.05	$12,123.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,445.51 / $3,461.55 / $5,788.83	Facility		$2,445.51	$3,461.55	$5,788.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,539.59 / $5,387.90 / $17,940.00	Facility		$2,539.59	$5,387.90	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,780.22 / $5,329.44 / $20,642.09	Professional		$2,780.22	$5,329.44	$20,642.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,631.49 / $5,184.51	Professional		$262.55	$1,631.49	$5,184.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,445.51 / $3,461.55 / $5,788.83	Facility		$2,445.51	$3,461.55	$5,788.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,380.05 / $6,555.38 / $9,785.90	Professional		$5,380.05	$6,555.38	$9,785.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,266.37 / $22,266.37 / $22,266.37	Facility		$22,266.37	$22,266.37	$22,266.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,991.58 / $13,057.00 / $20,642.09	Professional		$4,991.58	$13,057.00	$20,642.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,687.57 / $8,687.57 / $8,687.57	Professional		$8,687.57	$8,687.57	$8,687.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,723.98 / $13,389.44 / $16,979.13	Professional		$8,723.98	$13,389.44	$16,979.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,762.54 / $5,329.44 / $11,960.21	Professional		$2,762.54	$5,329.44	$11,960.21