Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.28 / $3,520.55 / $14,482.00	Facility		$1,688.28	$3,520.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,666.03 / $1,688.28 / $8,058.46	Professional		$1,666.03	$1,688.28	$8,058.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,695.31 / $3,896.03 / $10,458.54	Professional		$1,695.31	$3,896.03	$10,458.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,447.93 / $5,197.76 / $7,973.49	Facility		$4,447.93	$5,197.76	$7,973.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,381.14 / $6,826.68 / $7,757.59	Professional		$2,381.14	$6,826.68	$7,757.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,674.37 / $2,234.69 / $3,911.73	Facility		$1,674.37	$2,234.69	$3,911.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,674.37 / $3,462.17 / $13,120.00	Facility		$1,674.37	$3,462.17	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,798.73 / $3,494.82 / $14,973.86	Professional		$1,798.73	$3,494.82	$14,973.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $1,002.57 / $3,166.37	Professional		$158.95	$1,002.57	$3,166.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,674.37 / $2,234.69 / $3,911.73	Facility		$1,674.37	$2,234.69	$3,911.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,322.15 / $4,047.91 / $6,042.74	Professional		$3,322.15	$4,047.91	$6,042.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,901.92 / $15,901.92 / $15,901.92	Facility		$15,901.92	$15,901.92	$15,901.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,193.90 / $8,429.35 / $14,973.86	Professional		$3,193.90	$8,429.35	$14,973.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,609.69 / $5,609.69 / $5,609.69	Professional		$5,609.69	$5,609.69	$5,609.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,474.88 / $8,633.40 / $10,864.28	Professional		$5,474.88	$8,633.40	$10,864.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,798.73 / $3,335.96 / $7,670.71	Professional		$1,798.73	$3,335.96	$7,670.71