Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,431.88 / $4,093.16 / $14,482.00	Facility		$2,431.88	$4,093.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.14 / $2,431.88 / $7,077.01	Professional		$1,598.14	$2,431.88	$7,077.01
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 $1,963.49 / $5,340.52 / $11,716.94	Professional		$1,963.49	$5,340.52	$11,716.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,209.37 / $6,087.57 / $9,819.03	Facility		$5,209.37	$6,087.57	$9,819.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,710.58 / $6,133.48 / $8,276.49	Professional		$2,710.58	$6,133.48	$8,276.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,001.10 / $2,845.30 / $3,911.24	Facility		$2,001.10	$2,845.30	$3,911.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,001.10 / $2,958.90 / $7,700.00	Facility		$2,001.10	$2,958.90	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,310.19 / $6,041.26 / $13,797.96	Professional		$2,310.19	$6,041.26	$13,797.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.97 / $1,220.43 / $4,070.41	Professional		$176.97	$1,220.43	$4,070.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,183.02 / $2,845.30 / $3,911.24	Facility		$2,183.02	$2,845.30	$3,911.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,919.50 / $6,052.31 / $7,948.60	Professional		$3,919.50	$6,052.31	$7,948.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,816.16 / $18,816.16 / $18,816.16	Facility		$18,816.16	$18,816.16	$18,816.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,789.45 / $9,721.79 / $14,927.92	Professional		$2,789.45	$9,721.79	$14,927.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,877.83 / $4,877.83 / $4,877.83	Professional		$4,877.83	$4,877.83	$4,877.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,642.55 / $11,970.14 / $11,970.14	Professional		$4,642.55	$11,970.14	$11,970.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,205.96 / $5,964.44 / $8,691.29	Professional		$2,205.96	$5,964.44	$8,691.29