Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,354.36 / $5,168.14 / $14,482.00	Facility		$2,354.36	$5,168.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,156.81 / $2,354.36 / $8,674.45	Professional		$2,156.81	$2,354.36	$8,674.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,420.37 / $6,550.60 / $14,014.66	Professional		$2,420.37	$6,550.60	$14,014.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,597.10 / $7,709.23 / $12,434.72	Facility		$6,597.10	$7,709.23	$12,434.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,422.45 / $7,266.61 / $10,482.70	Professional		$3,422.45	$7,266.61	$10,482.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,354.36 / $2,940.10 / $4,938.43	Facility		$2,354.36	$2,940.10	$4,938.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,354.36 / $3,583.00 / $7,700.00	Facility		$2,354.36	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,854.21 / $6,017.48 / $16,002.39	Professional		$2,854.21	$6,017.48	$16,002.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.11 / $1,600.18 / $5,147.23	Professional		$160.11	$1,600.18	$5,147.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,354.36 / $2,940.10 / $4,938.43	Facility		$2,354.36	$2,940.10	$4,938.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,938.70 / $7,616.85 / $8,983.12	Professional		$4,938.70	$7,616.85	$8,983.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,793.41 / $17,793.41 / $17,793.41	Facility		$17,793.41	$17,793.41	$17,793.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,521.88 / $12,034.95 / $18,800.00	Professional		$3,521.88	$12,034.95	$18,800.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,011.08 / $7,011.08 / $7,011.08	Professional		$7,011.08	$7,011.08	$7,011.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,819.27 / $14,194.27 / $14,194.27	Professional		$7,819.27	$14,194.27	$14,194.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,799.29 / $6,017.48 / $11,610.55	Professional		$2,799.29	$6,017.48	$11,610.55