Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,713.85 / $6,916.73 / $14,482.00	Facility		$3,713.85	$6,916.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,156.67 / $3,713.85 / $10,021.37	Professional		$3,156.67	$3,713.85	$10,021.37
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 $3,269.95 / $7,618.16 / $19,636.24	Professional		$3,269.95	$7,618.16	$19,636.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,650.75 / $10,109.09 / $15,507.60	Facility		$8,650.75	$10,109.09	$15,507.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,856.93 / $11,564.61 / $13,810.80	Professional		$3,856.93	$11,564.61	$13,810.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,063.37 / $3,934.85 / $6,730.70	Facility		$3,063.37	$3,934.85	$6,730.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,000.52 / $4,088.34 / $7,413.78	Facility		$3,000.52	$4,088.34	$7,413.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,558.28 / $8,028.79 / $25,516.11	Professional		$3,558.28	$8,028.79	$25,516.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $2,364.29 / $7,285.28	Professional		$262.10	$2,364.29	$7,285.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,069.62 / $3,934.85 / $6,730.70	Facility		$3,069.62	$3,934.85	$6,730.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,389.40 / $8,521.33 / $13,971.71	Professional		$6,389.40	$8,521.33	$13,971.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,019.92 / $32,513.36 / $32,513.36	Facility		$4,019.92	$32,513.36	$32,513.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,965.56 / $16,552.65 / $25,516.11	Professional		$5,965.56	$16,552.65	$25,516.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,381.60 / $12,381.60 / $12,381.60	Professional		$12,381.60	$12,381.60	$12,381.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,174.35 / $16,863.05 / $16,863.05	Professional		$11,174.35	$16,863.05	$16,863.05
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 $3,556.94 / $8,454.54 / $14,938.77	Professional		$3,556.94	$8,454.54	$14,938.77