Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,126.43 / $5,887.64 / $14,482.00	Facility		$3,126.43	$5,887.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,701.20 / $3,126.43 / $8,610.75	Professional		$2,701.20	$3,126.43	$8,610.75
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 $2,844.51 / $6,413.18 / $16,797.45	Professional		$2,844.51	$6,413.18	$16,797.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,364.85 / $8,606.41 / $13,202.46	Facility		$7,364.85	$8,606.41	$13,202.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,241.86 / $9,824.78 / $11,781.04	Professional		$3,241.86	$9,824.78	$11,781.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,143.05 / $3,150.96 / $5,717.43	Facility		$2,143.05	$3,150.96	$5,717.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,231.89 / $3,373.26 / $6,386.53	Facility		$2,231.89	$3,373.26	$6,386.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,723.43 / $6,614.21 / $21,746.64	Professional		$2,723.43	$6,614.21	$21,746.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $2,006.63 / $6,188.93	Professional		$225.59	$2,006.63	$6,188.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,143.05 / $3,140.08 / $5,717.43	Facility		$2,143.05	$3,140.08	$5,717.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,452.80 / $7,272.22 / $11,918.30	Professional		$5,452.80	$7,272.22	$11,918.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,447.56 / $27,784.48 / $27,784.48	Facility		$3,447.56	$27,784.48	$27,784.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,111.97 / $14,238.65 / $21,746.64	Professional		$5,111.97	$14,238.65	$21,746.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,591.60 / $10,591.60 / $10,591.60	Professional		$10,591.60	$10,591.60	$10,591.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,511.81 / $14,384.70 / $14,384.70	Professional		$9,511.81	$14,384.70	$14,384.70
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 $2,847.73 / $6,236.53 / $12,850.38	Professional		$2,847.73	$6,236.53	$12,850.38