Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,624.72 / $5,512.12 / $14,482.00	Facility		$2,624.72	$5,512.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,529.94 / $2,725.42 / $10,979.30	Professional		$2,529.94	$2,725.42	$10,979.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,623.07 / $5,314.50 / $16,231.54	Professional		$2,623.07	$5,314.50	$16,231.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,934.12 / $8,103.07 / $12,430.31	Facility		$6,934.12	$8,103.07	$12,430.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,850.94 / $10,689.40 / $12,147.05	Professional		$3,850.94	$10,689.40	$12,147.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,449.83 / $3,135.78 / $5,800.63	Facility		$2,449.83	$3,135.78	$5,800.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,544.11 / $5,267.13 / $14,246.00	Facility		$2,544.11	$5,267.13	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,831.06 / $5,254.40 / $20,077.91	Professional		$2,831.06	$5,254.40	$20,077.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $1,650.60 / $5,224.53	Professional		$262.55	$1,650.60	$5,224.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,449.83 / $3,070.92 / $5,800.63	Facility		$2,449.83	$3,070.92	$5,800.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,389.15 / $6,566.47 / $9,802.45	Professional		$5,389.15	$6,566.47	$9,802.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,681.11 / $28,681.11 / $28,681.11	Facility		$28,681.11	$28,681.11	$28,681.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,001.10 / $13,070.65 / $20,077.91	Professional		$5,001.10	$13,070.65	$20,077.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,706.16 / $8,706.16 / $8,706.16	Professional		$8,706.16	$8,706.16	$8,706.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,755.52 / $13,412.96 / $17,011.56	Professional		$6,755.52	$13,412.96	$17,011.56
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,809.29 / $4,801.68 / $11,894.29	Professional		$2,809.29	$4,801.68	$11,894.29