Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.59 / $3,339.56 / $14,482.00	Facility		$1,794.59	$3,339.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.94 / $1,794.59 / $4,855.78	Professional		$1,523.94	$1,794.59	$4,855.78
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 $1,600.43 / $3,681.20 / $9,489.34	Professional		$1,600.43	$3,681.20	$9,489.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,177.59 / $4,881.85 / $7,488.88	Facility		$4,177.59	$4,881.85	$7,488.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.81 / $5,577.97 / $6,675.54	Professional		$1,869.81	$5,577.97	$6,675.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,631.07 / $2,040.86 / $3,246.35	Facility		$1,631.07	$2,040.86	$3,246.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,604.49 / $2,240.60 / $4,821.00	Facility		$1,604.49	$2,240.60	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,777.47 / $3,993.06 / $12,311.52	Professional		$1,777.47	$3,993.06	$12,311.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.23 / $1,146.93 / $3,514.98	Professional		$143.23	$1,146.93	$3,514.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,617.38 / $2,040.72 / $3,246.35	Facility		$1,617.38	$2,040.72	$3,246.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,088.20 / $4,118.63 / $6,753.32	Professional		$3,088.20	$4,118.63	$6,753.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,948.55 / $15,730.56 / $15,730.56	Facility		$1,948.55	$15,730.56	$15,730.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,888.48 / $8,017.15 / $12,311.52	Professional		$2,888.48	$8,017.15	$12,311.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,983.49 / $5,983.49 / $5,983.49	Professional		$5,983.49	$5,983.49	$5,983.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,395.25 / $8,150.91 / $8,150.91	Professional		$5,395.25	$8,150.91	$8,150.91
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 $1,709.22 / $3,226.38 / $7,235.48	Professional		$1,709.22	$3,226.38	$7,235.48