Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,108.53 / $6,524.86 / $14,482.00	Facility		$3,108.53	$6,524.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,018.17 / $3,226.62 / $14,850.20	Professional		$3,018.17	$3,226.62	$14,850.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,119.42 / $7,173.54 / $18,343.70	Professional		$3,119.42	$7,173.54	$18,343.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,201.09 / $9,583.62 / $14,701.53	Facility		$8,201.09	$9,583.62	$14,701.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,810.17 / $12,653.21 / $14,378.65	Professional		$4,810.17	$12,653.21	$14,378.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,957.07 / $4,118.93 / $6,869.85	Facility		$2,957.07	$4,118.93	$6,869.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,108.53 / $6,383.72 / $17,940.00	Facility		$3,108.53	$6,383.72	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,447.13 / $6,468.20 / $27,142.49	Professional		$3,447.13	$6,468.20	$27,142.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.40 / $1,926.51 / $6,123.92	Professional		$324.40	$1,926.51	$6,123.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,957.07 / $4,118.93 / $6,869.85	Facility		$2,957.07	$4,118.93	$6,869.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,386.25 / $7,781.40 / $11,616.10	Professional		$6,386.25	$7,781.40	$11,616.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,422.62 / $26,422.62 / $26,422.62	Facility		$26,422.62	$26,422.62	$26,422.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,919.87 / $15,533.65 / $27,142.49	Professional		$5,919.87	$15,533.65	$27,142.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,315.79 / $10,315.79 / $10,315.79	Professional		$10,315.79	$10,315.79	$10,315.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,237.15 / $15,903.88 / $20,136.83	Professional		$9,237.15	$15,903.88	$20,136.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $17,119.00 / $22,229.00	Facility		$8,452.00	$17,119.00	$22,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,418.05 / $6,391.00 / $14,228.82	Professional		$3,418.05	$6,391.00	$14,228.82