Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,077.42 / $3,864.06 / $14,482.00	Facility		$2,077.42	$3,864.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,763.95 / $2,077.42 / $5,631.89	Professional		$1,763.95	$2,077.42	$5,631.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,831.85 / $4,261.37 / $10,989.18	Professional		$1,831.85	$4,261.37	$10,989.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,829.10 / $5,643.19 / $8,656.79	Facility		$4,829.10	$5,643.19	$8,656.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,169.56 / $6,449.08 / $7,723.29	Professional		$2,169.56	$6,449.08	$7,723.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,889.10 / $2,411.96 / $3,753.60	Facility		$1,889.10	$2,411.96	$3,753.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,860.03 / $2,590.50 / $5,678.55	Facility		$1,860.03	$2,590.50	$5,678.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,046.43 / $4,613.46 / $14,252.48	Professional		$2,046.43	$4,613.46	$14,252.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,740.67 / $4,320.34	Professional		$174.72	$1,740.67	$4,320.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,875.12 / $2,398.46 / $3,753.60	Facility		$1,875.12	$2,398.46	$3,753.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,577.20 / $4,770.79 / $7,813.27	Professional		$3,577.20	$4,770.79	$7,813.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,258.30 / $18,209.43 / $18,209.43	Facility		$2,258.30	$18,209.43	$18,209.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,351.42 / $9,293.25 / $14,252.48	Professional		$3,351.42	$9,293.25	$14,252.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,929.23 / $6,929.23 / $6,929.23	Professional		$6,929.23	$6,929.23	$6,929.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,242.60 / $9,430.12 / $9,430.12	Professional		$6,242.60	$9,430.12	$9,430.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,910.37 / $3,949.90 / $8,387.16	Professional		$1,910.37	$3,949.90	$8,387.16