Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,048.50 / $3,791.81 / $14,482.00	Facility		$2,048.50	$3,791.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.64 / $2,048.50 / $6,560.36	Professional		$1,718.64	$2,048.50	$6,560.36
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 $1,829.54 / $4,202.04 / $10,770.54	Professional		$1,829.54	$4,202.04	$10,770.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,776.84 / $5,582.11 / $8,563.10	Facility		$4,776.84	$5,582.11	$8,563.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,109.35 / $6,354.68 / $7,605.84	Professional		$2,109.35	$6,354.68	$7,605.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,834.35 / $2,351.86 / $3,754.44	Facility		$1,834.35	$2,351.86	$3,754.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,779.73 / $2,586.48 / $5,504.94	Facility		$1,779.73	$2,586.48	$5,504.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,012.00 / $4,377.00 / $13,854.16	Professional		$2,012.00	$4,377.00	$13,854.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $1,621.07 / $3,966.72	Professional		$155.97	$1,621.07	$3,966.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,779.73 / $2,351.86 / $3,754.44	Facility		$1,779.73	$2,351.86	$3,754.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,352.80 / $4,471.52 / $7,694.45	Professional		$3,352.80	$4,471.52	$7,694.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,124.06 / $17,390.00 / $17,390.00	Facility		$2,124.06	$17,390.00	$17,390.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,024.00 / $9,247.45 / $13,854.16	Professional		$3,024.00	$9,247.45	$13,854.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,791.34 / $6,791.34 / $6,791.34	Professional		$6,791.34	$6,791.34	$6,791.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,159.71 / $9,286.75 / $9,286.75	Professional		$6,159.71	$9,286.75	$9,286.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,911.16 / $3,765.52 / $9,581.65	Professional		$1,911.16	$3,765.52	$9,581.65