Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,256.35 / $4,188.06 / $14,482.00	Facility		$2,256.35	$4,188.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.45 / $2,256.35 / $6,108.62	Professional		$1,918.45	$2,256.35	$6,108.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,021.74 / $4,628.41 / $11,948.67	Professional		$2,021.74	$4,628.41	$11,948.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,245.42 / $6,129.69 / $9,403.10	Facility		$5,245.42	$6,129.69	$9,403.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,353.04 / $6,995.17 / $8,381.20	Professional		$2,353.04	$6,995.17	$8,381.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,968.33 / $2,440.54 / $4,071.46	Facility		$1,968.33	$2,440.54	$4,071.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,968.33 / $2,667.75 / $5,584.08	Facility		$1,968.33	$2,667.75	$5,584.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,208.08 / $4,925.88 / $15,454.88	Professional		$2,208.08	$4,925.88	$15,454.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $1,431.06 / $4,384.95	Professional		$170.60	$1,431.06	$4,384.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,918.45 / $2,440.54 / $4,071.46	Facility		$1,918.45	$2,440.54	$4,071.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,873.60 / $5,166.09 / $8,478.85	Professional		$3,873.60	$5,166.09	$8,478.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,445.40 / $19,747.20 / $19,747.20	Facility		$2,445.40	$19,747.20	$19,747.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,623.78 / $10,106.35 / $15,454.88	Professional		$3,623.78	$10,106.35	$15,454.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,534.20 / $7,534.20 / $7,534.20	Professional		$7,534.20	$7,534.20	$7,534.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,766.04 / $10,233.45 / $10,233.45	Professional		$6,766.04	$10,233.45	$10,233.45
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 $2,190.35 / $4,426.58 / $10,471.59	Professional		$2,190.35	$4,426.58	$10,471.59