Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,586.98 / $4,813.00 / $14,482.00	Facility		$2,586.98	$4,813.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.96 / $2,586.98 / $7,007.31	Professional		$2,195.96	$2,586.98	$7,007.31
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 $2,309.03 / $5,306.63 / $13,680.12	Professional		$2,309.03	$5,306.63	$13,680.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,015.88 / $7,030.03 / $10,784.24	Facility		$6,015.88	$7,030.03	$10,784.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,700.82 / $8,034.76 / $9,617.51	Professional		$2,700.82	$8,034.76	$9,617.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,080.94 / $2,738.06 / $4,676.35	Facility		$2,080.94	$2,738.06	$4,676.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,139.11 / $2,994.75 / $5,887.00	Facility		$2,139.11	$2,994.75	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,527.13 / $5,474.73 / $17,744.64	Professional		$2,527.13	$5,474.73	$17,744.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $2,146.44 / $5,333.16	Professional		$209.83	$2,146.44	$5,333.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,131.96 / $2,738.06 / $4,676.35	Facility		$2,131.96	$2,738.06	$4,676.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,455.00 / $5,941.49 / $9,729.57	Professional		$4,455.00	$5,941.49	$9,729.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,810.59 / $22,671.04 / $22,671.04	Facility		$2,810.59	$22,671.04	$22,671.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,172.60 / $11,566.65 / $17,744.64	Professional		$4,172.60	$11,566.65	$17,744.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,625.96 / $8,625.96 / $8,625.96	Professional		$8,625.96	$8,625.96	$8,625.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,775.66 / $11,742.99 / $11,742.99	Professional		$7,775.66	$11,742.99	$11,742.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,490.31 / $4,638.34 / $10,438.90	Professional		$2,490.31	$4,638.34	$10,438.90