Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,029.30 / $5,615.28 / $14,482.00	Facility		$3,029.30	$5,615.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,575.88 / $3,029.30 / $7,145.73	Professional		$2,575.88	$3,029.30	$7,145.73
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 $2,710.49 / $6,213.96 / $16,047.95	Professional		$2,710.49	$6,213.96	$16,047.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,038.65 / $8,225.21 / $12,617.69	Facility		$7,038.65	$8,225.21	$12,617.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,173.61 / $9,381.45 / $11,243.83	Professional		$3,173.61	$9,381.45	$11,243.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,745.25 / $3,465.00 / $5,981.26	Facility		$2,745.25	$3,465.00	$5,981.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,660.29 / $3,574.85 / $7,700.00	Facility		$2,660.29	$3,574.85	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,001.49 / $6,719.21 / $20,730.64	Professional		$3,001.49	$6,719.21	$20,730.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $1,925.89 / $5,918.16	Professional		$202.95	$1,925.89	$5,918.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,745.25 / $3,465.60 / $5,981.26	Facility		$2,745.25	$3,465.60	$5,981.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,192.39 / $6,924.93 / $11,374.82	Professional		$5,192.39	$6,924.93	$11,374.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,279.28 / $29,799.00 / $29,799.00	Facility		$3,279.28	$29,799.00	$29,799.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,855.85 / $13,565.25 / $20,730.64	Professional		$4,855.85	$13,565.25	$20,730.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,119.02 / $10,119.02 / $10,119.02	Professional		$10,119.02	$10,119.02	$10,119.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,071.79 / $13,728.73 / $13,728.73	Professional		$9,071.79	$13,728.73	$13,728.73
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 $2,955.76 / $5,743.42 / $14,055.50	Professional		$2,955.76	$5,743.42	$14,055.50