Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,745.97 / $7,857.92 / $14,482.00	Facility		$3,745.97	$7,857.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,648.63 / $3,886.09 / $17,941.40	Professional		$3,648.63	$3,886.09	$17,941.40
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 $3,770.14 / $8,644.54 / $22,123.41	Professional		$3,770.14	$8,644.54	$22,123.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,869.07 / $11,532.78 / $17,691.59	Facility		$9,869.07	$11,532.78	$17,691.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,831.76 / $15,241.02 / $17,319.34	Professional		$5,831.76	$15,241.02	$17,319.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,745.97 / $4,977.18 / $8,278.59	Facility		$3,745.97	$4,977.18	$8,278.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,745.97 / $7,508.68 / $17,940.00	Facility		$3,745.97	$7,508.68	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,339.63 / $8,096.00 / $30,520.66	Professional		$4,339.63	$8,096.00	$30,520.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.74 / $2,321.50 / $7,372.34	Professional		$356.74	$2,321.50	$7,372.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,745.97 / $4,977.18 / $8,278.59	Facility		$3,745.97	$4,977.18	$8,278.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,697.95 / $9,379.66 / $14,001.98	Professional		$7,697.95	$9,379.66	$14,001.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,847.62 / $31,847.62 / $31,847.62	Facility		$31,847.62	$31,847.62	$31,847.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,130.60 / $18,767.15 / $30,520.66	Professional		$7,130.60	$18,767.15	$30,520.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,441.38 / $12,441.38 / $12,441.38	Professional		$12,441.38	$12,441.38	$12,441.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,526.60 / $19,193.74 / $24,255.17	Professional		$8,526.60	$19,193.74	$24,255.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,190.06 / $7,831.88 / $17,078.11	Professional		$4,190.06	$7,831.88	$17,078.11