Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.46 / $3,664.78 / $14,482.00	Facility		$1,975.46	$3,664.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.59 / $1,975.46 / $3,571.30	Professional		$1,665.59	$1,975.46	$3,571.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,787.47 / $4,052.23 / $10,481.43	Professional		$1,787.47	$4,052.23	$10,481.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,602.92 / $5,378.88 / $8,251.34	Facility		$4,602.92	$5,378.88	$8,251.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,073.37 / $6,133.62 / $7,339.49	Professional		$2,073.37	$6,133.62	$7,339.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,722.04 / $2,311.29 / $3,569.82	Facility		$1,722.04	$2,311.29	$3,569.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,721.15 / $2,502.46 / $4,886.37	Facility		$1,721.15	$2,502.46	$4,886.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,947.03 / $4,252.96 / $13,382.32	Professional		$1,947.03	$4,252.96	$13,382.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $1,228.24 / $3,730.91	Professional		$115.19	$1,228.24	$3,730.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,722.04 / $2,304.14 / $3,569.82	Facility		$1,722.04	$2,304.14	$3,569.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,243.00 / $4,325.08 / $7,425.00	Professional		$3,243.00	$4,325.08	$7,425.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,055.25 / $16,788.16 / $16,788.16	Facility		$2,055.25	$16,788.16	$16,788.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,913.55 / $8,914.95 / $13,382.32	Professional		$2,913.55	$8,914.95	$13,382.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,609.05 / $6,609.05 / $6,609.05	Professional		$6,609.05	$6,609.05	$6,609.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,927.22 / $8,961.50 / $8,961.50	Professional		$5,927.22	$8,961.50	$8,961.50
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 $1,947.03 / $3,904.75 / $8,045.74	Professional		$1,947.03	$3,904.75	$8,045.74