Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,947.44 / $9,755.01 / $14,949.92	Facility		$2,947.44	$9,755.01	$14,949.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,499.79 / $2,947.44 / $7,800.24	Professional		$2,499.79	$2,947.44	$7,800.24
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 $2,670.33 / $6,046.04 / $15,537.85	Professional		$2,670.33	$6,046.04	$15,537.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,897.17 / $8,059.89 / $12,364.08	Facility		$6,897.17	$8,059.89	$12,364.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,017.73 / $9,159.20 / $11,000.58	Professional		$3,017.73	$9,159.20	$11,000.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,651.41 / $3,512.56 / $5,699.06	Facility		$2,651.41	$3,512.56	$5,699.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,551.46 / $3,738.46 / $7,287.08	Facility		$2,551.46	$3,738.46	$7,287.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,892.94 / $6,297.50 / $21,347.14	Professional		$2,892.94	$6,297.50	$21,347.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.49 / $1,771.03 / $5,473.71	Professional		$280.49	$1,771.03	$5,473.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,600.32 / $3,488.39 / $5,699.06	Facility		$2,600.32	$3,488.39	$5,699.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,884.60 / $6,514.43 / $11,128.74	Professional		$4,884.60	$6,514.43	$11,128.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,111.12 / $28,514.34 / $28,514.34	Facility		$3,111.12	$28,514.34	$28,514.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,373.97 / $13,285.05 / $21,347.14	Professional		$4,373.97	$13,285.05	$21,347.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,797.35 / $9,797.35 / $9,797.35	Professional		$9,797.35	$9,797.35	$9,797.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,842.76 / $13,431.76 / $13,431.76	Professional		$8,842.76	$13,431.76	$13,431.76
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 $2,795.31 / $5,431.86 / $11,989.76	Professional		$2,795.31	$5,431.86	$11,989.76