Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,954.07 / $5,480.66 / $14,482.00	Facility		$2,954.07	$5,480.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,580.67 / $2,954.07 / $8,045.38	Professional		$2,580.67	$2,954.07	$8,045.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,663.83 / $6,059.63 / $15,638.86	Professional		$2,663.83	$6,059.63	$15,638.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,846.71 / $8,000.92 / $12,273.62	Facility		$6,846.71	$8,000.92	$12,273.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,091.96 / $9,119.77 / $10,981.39	Professional		$3,091.96	$9,119.77	$10,981.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,499.80 / $3,098.72 / $5,307.40	Facility		$2,499.80	$3,098.72	$5,307.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,490.39 / $3,402.29 / $6,180.95	Facility		$2,490.39	$3,402.29	$6,180.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,829.01 / $6,157.15 / $20,305.84	Professional		$2,829.01	$6,157.15	$20,305.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $2,464.55 / $6,080.91	Professional		$237.74	$2,464.55	$6,080.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,499.80 / $3,098.72 / $5,307.40	Facility		$2,499.80	$3,098.72	$5,307.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,076.00 / $6,769.69 / $11,109.34	Professional		$5,076.00	$6,769.69	$11,109.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,227.34 / $51,799.52 / $51,799.52	Facility		$3,227.34	$51,799.52	$51,799.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,766.10 / $13,319.05 / $20,305.84	Professional		$4,766.10	$13,319.05	$20,305.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,861.03 / $9,861.03 / $9,861.03	Professional		$9,861.03	$9,861.03	$9,861.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,872.43 / $13,408.29 / $13,408.29	Professional		$8,872.43	$13,408.29	$13,408.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,711.92 / $5,568.49 / $12,067.06	Professional		$2,711.92	$5,568.49	$12,067.06