Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,986.95 / $3,688.85 / $14,482.00	Facility		$1,986.95	$3,688.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,691.17 / $1,986.95 / $5,348.76	Professional		$1,691.17	$1,986.95	$5,348.76
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 $1,767.62 / $4,075.80 / $10,522.87	Professional		$1,767.62	$4,075.80	$10,522.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,631.76 / $5,412.57 / $8,303.03	Facility		$4,631.76	$5,412.57	$8,303.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,059.50 / $6,176.63 / $7,383.35	Professional		$2,059.50	$6,176.63	$7,383.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,803.29 / $2,297.91 / $3,873.91	Facility		$1,803.29	$2,297.91	$3,873.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,770.97 / $2,474.67 / $5,414.70	Facility		$1,770.97	$2,474.67	$5,414.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,926.99 / $4,280.60 / $13,583.60	Professional		$1,926.99	$4,280.60	$13,583.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,645.59 / $4,052.24	Professional		$174.72	$1,645.59	$4,052.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,802.05 / $2,295.29 / $3,873.91	Facility		$1,802.05	$2,295.29	$3,873.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,401.40 / $4,536.33 / $7,469.37	Professional		$3,401.40	$4,536.33	$7,469.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,139.92 / $19,525.77 / $19,525.77	Facility		$2,139.92	$19,525.77	$19,525.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,166.65 / $8,855.45 / $13,583.60	Professional		$3,166.65	$8,855.45	$13,583.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,635.17 / $6,635.17 / $6,635.17	Professional		$6,635.17	$6,635.17	$6,635.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,959.55 / $9,015.12 / $9,015.12	Professional		$5,959.55	$9,015.12	$9,015.12
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 $1,814.01 / $3,646.44 / $7,992.04	Professional		$1,814.01	$3,646.44	$7,992.04