Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,519.33 / $5,289.17 / $14,482.00	Facility		$2,519.33	$5,289.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.12 / $2,615.38 / $12,006.80	Professional		$2,429.12	$2,615.38	$12,006.80
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 $2,514.60 / $5,813.83 / $15,582.50	Professional		$2,514.60	$5,813.83	$15,582.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,650.27 / $7,771.36 / $11,921.47	Facility		$6,650.27	$7,771.36	$11,921.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.16 / $10,256.15 / $11,654.71	Professional		$3,890.16	$10,256.15	$11,654.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,350.73 / $3,008.95 / $5,567.72	Facility		$2,350.73	$3,008.95	$5,567.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,444.27 / $5,054.09 / $14,246.00	Facility		$2,444.27	$5,054.09	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,899.66 / $5,107.21 / $19,269.12	Professional		$2,899.66	$5,107.21	$19,269.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,554.59 / $4,973.62	Professional		$262.55	$1,554.59	$4,973.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,350.73 / $2,947.62 / $5,567.72	Facility		$2,350.73	$2,947.62	$5,567.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,173.35 / $6,303.53 / $9,409.93	Professional		$5,173.35	$6,303.53	$9,409.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,406.70 / $21,406.70 / $21,406.70	Facility		$21,406.70	$21,406.70	$21,406.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,798.41 / $12,559.40 / $19,269.12	Professional		$4,798.41	$12,559.40	$19,269.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,358.06 / $8,358.06 / $8,358.06	Professional		$8,358.06	$8,358.06	$8,358.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,678.65 / $12,878.15 / $16,322.04	Professional		$7,678.65	$12,878.15	$16,322.04
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,871.50 / $5,107.21 / $11,429.05	Professional		$2,871.50	$5,107.21	$11,429.05