Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,906.46 / $3,547.87 / $14,482.00	Facility		$1,906.46	$3,547.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.12 / $1,906.46 / $5,156.42	Professional		$1,619.12	$1,906.46	$5,156.42
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 $1,702.38 / $3,910.70 / $10,078.79	Professional		$1,702.38	$3,910.70	$10,078.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,437.10 / $5,185.12 / $7,954.11	Facility		$4,437.10	$5,185.12	$7,954.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,990.53 / $5,926.89 / $7,089.90	Professional		$1,990.53	$5,926.89	$7,089.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,733.49 / $2,220.33 / $3,449.18	Facility		$1,733.49	$2,220.33	$3,449.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,704.03 / $2,424.84 / $4,821.00	Facility		$1,704.03	$2,424.84	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,873.02 / $4,174.97 / $13,073.44	Professional		$1,873.02	$4,174.97	$13,073.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.23 / $1,212.83 / $3,724.01	Professional		$143.23	$1,212.83	$3,724.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,733.49 / $2,220.33 / $3,449.18	Facility		$1,733.49	$2,220.33	$3,449.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,281.40 / $4,376.29 / $7,172.51	Professional		$3,281.40	$4,376.29	$7,172.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,068.42 / $16,702.72 / $16,702.72	Facility		$2,068.42	$16,702.72	$16,702.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,069.65 / $8,517.04 / $13,073.44	Professional		$3,069.65	$8,517.04	$13,073.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,355.17 / $6,355.17 / $6,355.17	Professional		$6,355.17	$6,355.17	$6,355.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,731.78 / $8,656.78 / $8,656.78	Professional		$5,731.78	$8,656.78	$8,656.78
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 $1,861.04 / $3,730.47 / $7,686.64	Professional		$1,861.04	$3,730.47	$7,686.64