Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,041.94 / $5,639.74 / $14,482.00	Facility		$3,041.94	$5,639.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,587.13 / $3,041.94 / $8,236.87	Professional		$2,587.13	$3,041.94	$8,236.87
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 $2,724.04 / $6,239.87 / $16,118.05	Professional		$2,724.04	$6,239.87	$16,118.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,069.29 / $8,261.02 / $12,672.62	Facility		$7,069.29	$8,261.02	$12,672.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,193.35 / $9,422.09 / $11,293.00	Professional		$3,193.35	$9,422.09	$11,293.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,757.21 / $3,465.00 / $5,483.25	Facility		$2,757.21	$3,465.00	$5,483.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,650.11 / $3,541.25 / $6,266.38	Facility		$2,650.11	$3,541.25	$6,266.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,018.06 / $6,754.88 / $20,821.75	Professional		$3,018.06	$6,754.88	$20,821.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $1,948.28 / $5,918.16	Professional		$202.95	$1,948.28	$5,918.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,757.21 / $3,469.78 / $5,483.25	Facility		$2,757.21	$3,469.78	$5,483.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,215.20 / $6,955.34 / $11,424.57	Professional		$5,215.20	$6,955.34	$11,424.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,293.81 / $29,930.04 / $29,930.04	Facility		$3,293.81	$29,930.04	$29,930.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,877.43 / $13,623.35 / $20,821.75	Professional		$4,877.43	$13,623.35	$20,821.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,163.19 / $10,163.19 / $10,163.19	Professional		$10,163.19	$10,163.19	$10,163.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,111.31 / $13,788.79 / $13,788.79	Professional		$9,111.31	$13,788.79	$13,788.79
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 $2,928.20 / $5,313.11 / $12,295.07	Professional		$2,928.20	$5,313.11	$12,295.07