Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,168.41 / $6,604.88 / $14,482.00	Facility		$3,168.41	$6,604.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,046.37 / $3,266.05 / $14,966.80	Professional		$3,046.37	$3,266.05	$14,966.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,217.00 / $15,287.53	Facility		$5,169.00	$8,217.00	$15,287.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,119.24 / $7,212.89 / $19,203.71	Professional		$3,119.24	$7,212.89	$19,203.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,363.29 / $9,773.17 / $14,992.30	Facility		$8,363.29	$9,773.17	$14,992.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.68 / $13,346.04 / $16,109.50	Professional		$4,783.68	$13,346.04	$16,109.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,168.41 / $4,181.85 / $6,964.39	Facility		$3,168.41	$4,181.85	$6,964.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,168.41 / $5,242.62 / $13,120.00	Facility		$3,168.41	$5,242.62	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,435.01 / $6,429.66 / $24,103.04	Professional		$3,435.01	$6,429.66	$24,103.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.40 / $1,942.50 / $6,170.16	Professional		$324.40	$1,942.50	$6,170.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,168.41 / $4,149.83 / $6,964.39	Facility		$3,168.41	$4,149.83	$6,964.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,444.10 / $7,851.89 / $11,721.32	Professional		$6,444.10	$7,851.89	$11,721.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,792.71 / $26,792.71 / $26,792.71	Facility		$26,792.71	$26,792.71	$26,792.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,016.63 / $15,655.70 / $24,103.04	Professional		$6,016.63	$15,655.70	$24,103.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,548.97 / $10,548.97 / $10,548.97	Professional		$10,548.97	$10,548.97	$10,548.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,702.17 / $16,229.59 / $20,465.90	Professional		$9,702.17	$16,229.59	$20,465.90
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,435.01 / $6,387.53 / $13,981.17	Professional		$3,435.01	$6,387.53	$13,981.17