Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,333.36 / $6,461.00 / $14,482.00	Facility		$2,333.36	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.00 / $2,333.36 / $6,296.74	Professional		$1,985.00	$2,333.36	$6,296.74
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 $2,092.88 / $4,786.39 / $12,366.65	Professional		$2,092.88	$4,786.39	$12,366.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,428.35 / $6,343.45 / $9,731.02	Facility		$5,428.35	$6,343.45	$9,731.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,440.44 / $7,244.91 / $8,660.20	Professional		$2,440.44	$7,244.91	$8,660.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,031.04 / $2,582.08 / $4,547.20	Facility		$2,031.04	$2,582.08	$4,547.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,044.40 / $2,824.23 / $5,887.00	Facility		$2,044.40	$2,824.23	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,223.19 / $4,825.72 / $17,183.28	Professional		$2,223.19	$4,825.72	$17,183.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $1,490.27 / $4,537.52	Professional		$170.60	$1,490.27	$4,537.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,991.65 / $2,598.13 / $4,491.04	Facility		$1,991.65	$2,598.13	$4,491.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,996.60 / $5,330.13 / $8,761.12	Professional		$3,996.60	$5,330.13	$8,761.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,515.92 / $17,828.23 / $17,828.23	Facility		$2,515.92	$17,828.23	$17,828.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,458.54 / $10,463.40 / $17,183.28	Professional		$3,458.54	$10,463.40	$17,183.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,797.76 / $7,797.76 / $7,797.76	Professional		$7,797.76	$7,797.76	$7,797.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,995.70 / $10,574.11 / $10,574.11	Professional		$6,995.70	$10,574.11	$10,574.11
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 $2,139.16 / $4,162.76 / $9,443.21	Professional		$2,139.16	$4,162.76	$9,443.21