Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,414.66 / $4,485.96 / $14,482.00	Facility		$2,414.66	$4,485.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,054.04 / $2,414.66 / $6,551.85	Professional		$2,054.04	$2,414.66	$6,551.85
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 $2,159.10 / $4,953.14 / $12,779.74	Professional		$2,159.10	$4,953.14	$12,779.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,609.47 / $6,555.11 / $10,055.70	Facility		$5,609.47	$6,555.11	$10,055.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,522.27 / $7,486.29 / $8,970.73	Professional		$2,522.27	$7,486.29	$8,970.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,193.14 / $2,750.48 / $4,356.63	Facility		$2,193.14	$2,750.48	$4,356.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,163.63 / $2,825.15 / $5,926.70	Facility		$2,163.63	$2,825.15	$5,926.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,378.31 / $5,389.92 / $16,558.32	Professional		$2,378.31	$5,389.92	$16,558.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $1,999.86 / $4,954.83	Professional		$209.83	$1,999.86	$4,954.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,193.14 / $2,750.48 / $4,356.63	Facility		$2,193.14	$2,750.48	$4,356.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,155.00 / $5,541.39 / $9,075.24	Professional		$4,155.00	$5,541.39	$9,075.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,624.83 / $21,156.16 / $21,156.16	Facility		$2,624.83	$21,156.16	$21,156.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,895.51 / $10,818.80 / $16,558.32	Professional		$3,895.51	$10,818.80	$16,558.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,058.25 / $8,058.25 / $8,058.25	Professional		$8,058.25	$8,058.25	$8,058.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,247.32 / $10,953.31 / $10,953.31	Professional		$7,247.32	$10,953.31	$10,953.31
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 $2,275.12 / $4,589.68 / $9,763.96	Professional		$2,275.12	$4,589.68	$9,763.96