Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,417.19 / $4,493.59 / $14,482.00	Facility		$2,417.19	$4,493.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,055.62 / $2,417.19 / $6,563.11	Professional		$2,055.62	$2,417.19	$6,563.11
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 $2,094.30 / $4,958.37 / $12,788.88	Professional		$2,094.30	$4,958.37	$12,788.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,614.88 / $6,561.43 / $10,065.40	Facility		$5,614.88	$6,561.43	$10,065.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,519.42 / $7,495.85 / $8,984.23	Professional		$2,519.42	$7,495.85	$8,984.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,196.87 / $2,764.45 / $4,362.47	Facility		$2,196.87	$2,764.45	$4,362.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,130.51 / $3,003.90 / $5,887.00	Facility		$2,130.51	$3,003.90	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,366.31 / $5,295.73 / $16,589.28	Professional		$2,366.31	$5,295.73	$16,589.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $1,999.86 / $4,954.83	Professional		$209.83	$1,999.86	$4,954.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,196.87 / $2,764.45 / $4,362.47	Facility		$2,196.87	$2,764.45	$4,362.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,163.39 / $5,552.59 / $9,088.90	Professional		$4,163.39	$5,552.59	$9,088.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,631.54 / $21,195.52 / $21,195.52	Facility		$2,631.54	$21,195.52	$21,195.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,905.57 / $10,830.60 / $16,589.28	Professional		$3,905.57	$10,830.60	$16,589.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,064.01 / $8,064.01 / $8,064.01	Professional		$8,064.01	$8,064.01	$8,064.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,259.64 / $10,969.80 / $10,969.80	Professional		$7,259.64	$10,969.80	$10,969.80
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 $2,333.46 / $4,599.00 / $9,812.52	Professional		$2,333.46	$4,599.00	$9,812.52