Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,354.32 / $4,370.51 / $14,482.00	Facility		$2,354.32	$4,370.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,002.75 / $2,354.32 / $6,345.02	Professional		$2,002.75	$2,354.32	$6,345.02
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 $2,112.59 / $4,829.37 / $12,464.17	Professional		$2,112.59	$4,829.37	$12,464.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,484.22 / $6,408.74 / $9,831.17	Facility		$5,484.22	$6,408.74	$9,831.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,467.73 / $7,313.02 / $8,747.84	Professional		$2,467.73	$7,313.02	$8,747.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,079.71 / $2,622.31 / $4,622.00	Facility		$2,079.71	$2,622.31	$4,622.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,062.56 / $2,889.29 / $5,887.00	Facility		$2,062.56	$2,889.29	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,320.42 / $4,672.92 / $18,462.88	Professional		$2,320.42	$4,672.92	$18,462.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,480.05 / $4,593.08	Professional		$169.65	$1,480.05	$4,593.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,049.40 / $2,622.31 / $4,525.27	Facility		$2,049.40	$2,622.31	$4,525.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,032.60 / $5,378.14 / $8,849.76	Professional		$4,032.60	$5,378.14	$8,849.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,540.38 / $20,579.04 / $20,579.04	Facility		$2,540.38	$20,579.04	$20,579.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,486.99 / $10,547.40 / $18,462.88	Professional		$3,486.99	$10,547.40	$18,462.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,859.25 / $7,859.25 / $7,859.25	Professional		$7,859.25	$7,859.25	$7,859.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,060.81 / $10,681.13 / $10,681.13	Professional		$7,060.81	$10,681.13	$10,681.13
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 $2,229.38 / $4,350.18 / $9,519.03	Professional		$2,229.38	$4,350.18	$9,519.03