Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,346.90 / $4,381.10 / $14,482.00	Facility		$2,346.90	$4,381.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,947.44 / $2,346.90 / $4,381.10	Professional		$1,947.44	$2,346.90	$4,381.10
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 $2,099.69 / $4,814.14 / $12,427.16	Professional		$2,099.69	$4,814.14	$12,427.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,509.45 / $6,438.23 / $9,876.40	Facility		$5,509.45	$6,438.23	$9,876.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,415.44 / $7,332.14 / $8,786.85	Professional		$2,415.44	$7,332.14	$8,786.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,984.97 / $2,387.61 / $4,266.95	Facility		$1,984.97	$2,387.61	$4,266.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,017.66 / $2,704.76 / $5,728.00	Facility		$2,017.66	$2,704.76	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,306.89 / $5,169.09 / $16,131.12	Professional		$2,306.89	$5,169.09	$16,131.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $1,498.45 / $4,605.56	Professional		$170.60	$1,498.45	$4,605.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,984.97 / $2,387.61 / $4,266.95	Facility		$1,984.97	$2,387.61	$4,266.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,983.40 / $5,312.53 / $8,889.23	Professional		$3,983.40	$5,312.53	$8,889.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,524.85 / $28,186.84 / $28,186.84	Facility		$2,524.85	$28,186.84	$28,186.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,648.80 / $10,485.85 / $16,131.12	Professional		$3,648.80	$10,485.85	$16,131.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,835.90 / $7,835.90 / $7,835.90	Professional		$7,835.90	$7,835.90	$7,835.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,077.93 / $10,728.74 / $10,728.74	Professional		$7,077.93	$10,728.74	$10,728.74
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 $2,288.28 / $4,253.60 / $9,500.18	Professional		$2,288.28	$4,253.60	$9,500.18