Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,984.00 / $5,546.88 / $14,482.00	Facility		$2,984.00	$5,546.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,535.92 / $2,984.00 / $8,097.96	Professional		$2,535.92	$2,984.00	$8,097.96
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 $2,674.21 / $6,121.02 / $15,784.54	Professional		$2,674.21	$6,121.02	$15,784.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,931.42 / $8,099.91 / $12,425.46	Facility		$6,931.42	$8,099.91	$12,425.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,109.84 / $9,253.60 / $11,089.38	Professional		$3,109.84	$9,253.60	$11,089.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,246.46 / $3,155.56 / $5,385.73	Facility		$2,246.46	$3,155.56	$5,385.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,382.85 / $3,397.76 / $6,167.43	Facility		$2,382.85	$3,397.76	$6,167.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,940.00 / $6,325.28 / $20,473.91	Professional		$2,940.00	$6,325.28	$20,473.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.19 / $1,893.88 / $5,817.75	Professional		$199.19	$1,893.88	$5,817.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,246.46 / $3,155.56 / $5,385.73	Facility		$2,246.46	$3,155.56	$5,385.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,138.39 / $6,852.91 / $11,218.58	Professional		$5,138.39	$6,852.91	$11,218.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,246.98 / $26,158.64 / $26,158.64	Facility		$3,246.98	$26,158.64	$26,158.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,818.89 / $13,363.65 / $20,473.91	Professional		$4,818.89	$13,363.65	$20,473.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,952.91 / $9,952.91 / $9,952.91	Professional		$9,952.91	$9,952.91	$9,952.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,379.16 / $13,540.20 / $13,540.20	Professional		$6,379.16	$13,540.20	$13,540.20
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 $2,849.42 / $5,675.52 / $12,060.69	Professional		$2,849.42	$5,675.52	$12,060.69