Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,224.88 / $4,137.43 / $14,482.00	Facility		$2,224.88	$4,137.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,890.44 / $2,224.88 / $6,035.19	Professional		$1,890.44	$2,224.88	$6,035.19
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 $1,989.23 / $4,563.85 / $11,769.79	Professional		$1,989.23	$4,563.85	$11,769.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,171.53 / $6,043.34 / $9,270.64	Facility		$5,171.53	$6,043.34	$9,270.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,317.78 / $6,904.35 / $8,271.45	Professional		$2,317.78	$6,904.35	$8,271.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,942.87 / $2,533.35 / $4,018.05	Facility		$1,942.87	$2,533.35	$4,018.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,942.87 / $2,730.23 / $5,516.58	Facility		$1,942.87	$2,730.23	$5,516.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,111.17 / $4,647.71 / $15,268.40	Professional		$2,111.17	$4,647.71	$15,268.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $1,424.21 / $4,357.89	Professional		$170.60	$1,424.21	$4,357.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,942.87 / $2,533.35 / $4,018.05	Facility		$1,942.87	$2,533.35	$4,018.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,831.60 / $5,110.08 / $8,367.82	Professional		$3,831.60	$5,110.08	$8,367.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,420.59 / $19,507.84 / $19,507.84	Facility		$2,420.59	$19,507.84	$19,507.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,591.72 / $9,960.60 / $15,268.40	Professional		$3,591.72	$9,960.60	$15,268.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,421.43 / $7,421.43 / $7,421.43	Professional		$7,421.43	$7,421.43	$7,421.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,684.26 / $10,099.46 / $10,099.46	Professional		$6,684.26	$10,099.46	$10,099.46
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 $2,048.96 / $4,025.38 / $8,989.44	Professional		$2,048.96	$4,025.38	$8,989.44