Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,881.68 / $3,498.66 / $14,482.00	Facility		$1,881.68	$3,498.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.10 / $1,881.68 / $5,089.27	Professional		$1,598.10	$1,881.68	$5,089.27
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 $1,679.90 / $3,859.86 / $9,950.51	Professional		$1,679.90	$3,859.86	$9,950.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,377.64 / $5,115.62 / $7,847.49	Facility		$4,377.64	$5,115.62	$7,847.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,962.76 / $5,844.44 / $6,993.70	Professional		$1,962.76	$5,844.44	$6,993.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,710.46 / $2,178.42 / $3,629.69	Facility		$1,710.46	$2,178.42	$3,629.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,710.46 / $2,411.42 / $5,136.57	Facility		$1,710.46	$2,411.42	$5,136.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,839.21 / $4,112.76 / $12,896.08	Professional		$1,839.21	$4,112.76	$12,896.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.23 / $1,194.63 / $3,658.94	Professional		$143.23	$1,194.63	$3,658.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,710.46 / $2,176.94 / $3,629.69	Facility		$1,710.46	$2,176.94	$3,629.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.80 / $4,315.47 / $7,075.19	Professional		$3,235.80	$4,315.47	$7,075.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,040.31 / $16,475.68 / $16,475.68	Facility		$2,040.31	$16,475.68	$16,475.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,026.93 / $8,409.85 / $12,896.08	Professional		$3,026.93	$8,409.85	$12,896.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,274.28 / $6,274.28 / $6,274.28	Professional		$6,274.28	$6,274.28	$6,274.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,652.28 / $8,539.33 / $8,539.33	Professional		$5,652.28	$8,539.33	$8,539.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,805.95 / $3,382.16 / $7,589.89	Professional		$1,805.95	$3,382.16	$7,589.89