Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,498.38 / $4,899.17 / $8,731.41	Facility		$3,498.38	$4,899.17	$8,731.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $3,498.38 / $8,905.00	Professional		$2,100.00	$3,498.38	$8,905.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,094.77 / $5,742.93 / $10,248.54	Professional		$2,094.77	$5,742.93	$10,248.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,204.21 / $7,250.11 / $11,694.17	Facility		$6,204.21	$7,250.11	$11,694.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,374.99 / $6,928.15 / $8,210.42	Professional		$3,374.99	$6,928.15	$8,210.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,395.15 / $3,498.38 / $6,613.35	Facility		$2,395.15	$3,498.38	$6,613.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,566.10 / $7,700.00	Facility		$2,000.00	$3,566.10	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,336.44 / $4,842.77 / $8,988.10	Professional		$2,336.44	$4,842.77	$8,988.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,834.88 / $6,192.24	Professional		$85.00	$2,834.88	$6,192.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,395.15 / $3,498.38 / $6,613.35	Facility		$2,395.15	$3,498.38	$6,613.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,958.20 / $6,518.13 / $8,662.36	Professional		$4,958.20	$6,518.13	$8,662.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,562.30 / $17,562.30 / $17,562.30	Facility		$17,562.30	$17,562.30	$17,562.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,480.35 / $10,339.10 / $18,209.52	Professional		$3,480.35	$10,339.10	$18,209.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,399.71 / $4,399.71 / $4,399.71	Professional		$4,399.71	$4,399.71	$4,399.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,713.81 / $7,488.51 / $7,488.51	Professional		$3,713.81	$7,488.51	$7,488.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $4,867.38 / $7,961.11	Professional		$2,200.00	$4,867.38	$7,961.11