Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,417.00 / $4,512.82 / $14,482.00	Facility		$2,417.00	$4,512.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.57 / $2,417.00 / $6,466.97	Professional		$2,018.57	$2,417.00	$6,466.97
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 $2,080.04 / $4,957.95 / $12,764.94	Professional		$2,080.04	$4,957.95	$12,764.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,656.33 / $6,609.87 / $10,139.70	Facility		$5,656.33	$6,609.87	$10,139.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,486.46 / $7,529.69 / $9,001.86	Professional		$2,486.46	$7,529.69	$9,001.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,128.55 / $2,640.00 / $4,405.10	Facility		$2,128.55	$2,640.00	$4,405.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,122.44 / $2,816.00 / $5,728.00	Facility		$2,122.44	$2,816.00	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,217.98 / $5,058.42 / $16,537.68	Professional		$2,217.98	$5,058.42	$16,537.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,532.68 / $4,683.77	Professional		$169.65	$1,532.68	$4,683.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,059.88 / $2,675.63 / $4,405.10	Facility		$2,059.88	$2,675.63	$4,405.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,152.00 / $5,537.38 / $9,106.75	Professional		$4,152.00	$5,537.38	$9,106.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,598.36 / $21,133.92 / $21,133.92	Facility		$2,598.36	$21,133.92	$21,133.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,750.84 / $10,687.10 / $16,537.68	Professional		$3,750.84	$10,687.10	$16,537.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,048.91 / $8,048.91 / $8,048.91	Professional		$8,048.91	$8,048.91	$8,048.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,290.72 / $10,991.31 / $10,991.31	Professional		$7,290.72	$10,991.31	$10,991.31
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 $2,187.23 / $4,680.95 / $9,645.11	Professional		$2,187.23	$4,680.95	$9,645.11