Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,643.79 / $4,931.57 / $14,482.00	Facility		$2,643.79	$4,931.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.60 / $2,643.79 / $5,991.32	Professional		$2,216.60	$2,643.79	$5,991.32
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 $2,338.81 / $5,423.16 / $13,967.03	Professional		$2,338.81	$5,423.16	$13,967.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,180.78 / $7,222.73 / $11,079.86	Facility		$6,180.78	$7,222.73	$11,079.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,744.50 / $8,252.89 / $9,843.95	Professional		$2,744.50	$8,252.89	$9,843.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,348.23 / $2,958.94 / $4,810.17	Facility		$2,348.23	$2,958.94	$4,810.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,311.31 / $3,160.86 / $5,887.00	Facility		$2,311.31	$3,160.86	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,558.71 / $5,612.31 / $18,098.08	Professional		$2,558.71	$5,612.31	$18,098.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.09 / $1,691.32 / $5,131.72	Professional		$198.09	$1,691.32	$5,131.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,348.23 / $2,958.94 / $4,810.17	Facility		$2,348.23	$2,958.94	$4,810.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,540.80 / $6,055.91 / $9,958.66	Professional		$4,540.80	$6,055.91	$9,958.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,847.56 / $23,127.84 / $23,127.84	Facility		$2,847.56	$23,127.84	$23,127.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,216.12 / $11,713.55 / $18,098.08	Professional		$4,216.12	$11,713.55	$18,098.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,806.87 / $8,806.87 / $8,806.87	Professional		$8,806.87	$8,806.87	$8,806.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,641.79 / $12,019.53 / $12,019.53	Professional		$8,641.79	$12,019.53	$12,019.53
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 $2,506.26 / $5,282.86 / $10,571.48	Professional		$2,506.26	$5,282.86	$10,571.48