Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,975.53 / $3,672.72 / $14,482.00	Facility		$1,975.53	$3,672.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,677.66 / $1,975.53 / $5,347.20	Professional		$1,677.66	$1,975.53	$5,347.20
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 $1,766.68 / $4,052.36 / $10,452.00	Professional		$1,766.68	$4,052.36	$10,452.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,594.81 / $5,369.40 / $8,236.79	Facility		$4,594.81	$5,369.40	$8,236.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,060.87 / $6,133.62 / $7,342.96	Professional		$2,060.87	$6,133.62	$7,342.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,547.58 / $2,089.37 / $3,570.12	Facility		$1,547.58	$2,089.37	$3,570.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,634.12 / $2,318.40 / $4,896.96	Facility		$1,634.12	$2,318.40	$4,896.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,930.59 / $4,351.82 / $13,541.44	Professional		$1,930.59	$4,351.82	$13,541.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.23 / $1,263.29 / $3,870.41	Professional		$143.23	$1,263.29	$3,870.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,502.30 / $2,048.89 / $3,570.12	Facility		$1,502.30	$2,048.89	$3,570.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,397.20 / $4,530.72 / $7,428.52	Professional		$3,397.20	$4,530.72	$7,428.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,142.85 / $17,300.64 / $17,300.64	Facility		$2,142.85	$17,300.64	$17,300.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,178.55 / $8,836.29 / $13,541.44	Professional		$3,178.55	$8,836.29	$13,541.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,590.50 / $6,590.50 / $6,590.50	Professional		$6,590.50	$6,590.50	$6,590.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,933.48 / $8,965.76 / $8,965.76	Professional		$5,933.48	$8,965.76	$8,965.76
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 $1,824.99 / $3,870.30 / $7,974.76	Professional		$1,824.99	$3,870.30	$7,974.76