Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.19 / $4,195.97 / $14,482.00	Facility		$2,262.19	$4,195.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,925.24 / $2,262.19 / $6,092.80	Professional		$1,925.24	$2,262.19	$6,092.80
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 $2,030.12 / $4,640.39 / $11,982.69	Professional		$2,030.12	$4,640.39	$11,982.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,270.65 / $6,159.17 / $9,448.33	Facility		$5,270.65	$6,159.17	$9,448.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,332.53 / $7,025.04 / $8,402.75	Professional		$2,332.53	$7,025.04	$8,402.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,017.19 / $2,573.98 / $4,088.14	Facility		$2,017.19	$2,573.98	$4,088.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,011.98 / $2,823.34 / $5,728.00	Facility		$2,011.98	$2,823.34	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,176.63 / $4,839.47 / $15,461.84	Professional		$2,176.63	$4,839.47	$15,461.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,878.55 / $4,606.16	Professional		$174.72	$1,878.55	$4,606.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,011.98 / $2,573.98 / $4,088.14	Facility		$2,011.98	$2,573.98	$4,088.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,869.40 / $5,160.49 / $8,500.66	Professional		$3,869.40	$5,160.49	$8,500.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,436.71 / $19,757.28 / $19,757.28	Facility		$2,436.71	$19,757.28	$19,757.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,603.08 / $10,139.54 / $15,461.84	Professional		$3,603.08	$10,139.54	$15,461.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,555.67 / $7,555.67 / $7,555.67	Professional		$7,555.67	$7,555.67	$7,555.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,778.84 / $10,259.83 / $10,259.83	Professional		$6,778.84	$10,259.83	$10,259.83
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 $2,086.03 / $4,441.12 / $9,150.94	Professional		$2,086.03	$4,441.12	$9,150.94