Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,297.50 / $4,265.47 / $14,482.00	Facility		$2,297.50	$4,265.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,954.70 / $2,297.50 / $6,190.43	Professional		$1,954.70	$2,297.50	$6,190.43
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 $2,060.01 / $4,712.81 / $12,163.56	Professional		$2,060.01	$4,712.81	$12,163.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,353.55 / $6,256.05 / $9,596.94	Facility		$5,353.55	$6,256.05	$9,596.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,403.38 / $7,138.56 / $8,537.89	Professional		$2,403.38	$7,138.56	$8,537.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,084.73 / $2,620.31 / $4,634.53	Facility		$2,084.73	$2,620.31	$4,634.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,028.99 / $2,884.01 / $5,728.00	Facility		$2,028.99	$2,884.01	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,264.10 / $4,559.47 / $17,956.93	Professional		$2,264.10	$4,559.47	$17,956.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,452.56 / $4,490.61	Professional		$169.65	$1,452.56	$4,490.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,048.94 / $2,628.01 / $4,700.64	Facility		$2,048.94	$2,628.01	$4,700.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,935.40 / $5,248.51 / $8,637.36	Professional		$3,935.40	$5,248.51	$8,637.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,477.98 / $20,080.48 / $20,080.48	Facility		$2,477.98	$20,080.48	$20,080.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,404.11 / $10,291.35 / $17,956.93	Professional		$3,404.11	$10,291.35	$17,956.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,669.71 / $7,669.71 / $7,669.71	Professional		$7,669.71	$7,669.71	$7,669.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,891.12 / $10,424.78 / $10,424.78	Professional		$6,891.12	$10,424.78	$10,424.78
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 $2,264.10 / $4,507.60 / $10,663.28	Professional		$2,264.10	$4,507.60	$10,663.28