Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.88 / $3,892.03 / $14,482.00	Facility		$2,095.88	$3,892.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,780.30 / $2,095.88 / $5,671.29	Professional		$1,780.30	$2,095.88	$5,671.29
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 $1,873.29 / $4,299.22 / $11,093.46	Professional		$1,873.29	$4,299.22	$11,093.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,873.26 / $5,694.79 / $8,735.95	Facility		$4,873.26	$5,694.79	$8,735.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,185.77 / $6,501.66 / $7,785.56	Professional		$2,185.77	$6,501.66	$7,785.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,902.77 / $2,371.89 / $4,125.60	Facility		$1,902.77	$2,371.89	$4,125.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,848.03 / $2,583.27 / $5,189.37	Facility		$1,848.03	$2,583.27	$5,189.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,071.61 / $4,636.42 / $14,354.56	Professional		$2,071.61	$4,636.42	$14,354.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,763.03 / $4,315.78	Professional		$174.72	$1,763.03	$4,315.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,902.77 / $2,379.10 / $4,125.60	Facility		$1,902.77	$2,379.10	$4,125.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,599.40 / $4,800.39 / $7,876.28	Professional		$3,599.40	$4,800.39	$7,876.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,270.62 / $18,339.91 / $18,339.91	Facility		$2,270.62	$18,339.91	$18,339.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,366.65 / $9,375.85 / $14,354.56	Professional		$3,366.65	$9,375.85	$14,354.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,994.94 / $6,994.94 / $6,994.94	Professional		$6,994.94	$6,994.94	$6,994.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,287.79 / $9,506.19 / $9,506.19	Professional		$6,287.79	$9,506.19	$9,506.19
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 $2,042.25 / $3,786.90 / $8,461.70	Professional		$2,042.25	$3,786.90	$8,461.70