Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,147.44 / $6,560.21 / $14,482.00	Facility		$3,147.44	$6,560.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,026.26 / $3,244.17 / $14,868.00	Professional		$3,026.26	$3,244.17	$14,868.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $7,467.00 / $15,287.53	Facility		$1,979.00	$7,467.00	$15,287.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,098.35 / $6,793.31 / $18,632.81	Professional		$3,098.35	$6,793.31	$18,632.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,306.52 / $9,706.83 / $14,890.53	Facility		$8,306.52	$9,706.83	$14,890.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,342.18 / $13,254.41 / $16,001.23	Professional		$4,342.18	$13,254.41	$16,001.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,915.65 / $4,130.59 / $6,672.57	Facility		$2,915.65	$4,130.59	$6,672.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,029.20 / $5,238.12 / $13,120.00	Facility		$3,029.20	$5,238.12	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,168.14 / $6,252.04 / $23,941.52	Professional		$3,168.14	$6,252.04	$23,941.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.40 / $1,913.31 / $6,109.65	Professional		$324.40	$1,913.31	$6,109.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,915.65 / $4,122.60 / $6,672.57	Facility		$2,915.65	$4,122.60	$6,672.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,401.20 / $7,799.62 / $11,643.29	Professional		$6,401.20	$7,799.62	$11,643.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,613.37 / $26,613.37 / $26,613.37	Facility		$26,613.37	$26,613.37	$26,613.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,976.19 / $15,552.35 / $23,941.52	Professional		$5,976.19	$15,552.35	$23,941.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,478.37 / $10,478.37 / $10,478.37	Professional		$10,478.37	$10,478.37	$10,478.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,259.58 / $16,122.44 / $20,328.34	Professional		$8,259.58	$16,122.44	$20,328.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,143.33 / $6,034.31 / $13,997.99	Professional		$3,143.33	$6,034.31	$13,997.99