Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,659.15 / $7,631.64 / $14,482.00	Facility		$3,659.15	$7,631.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,520.87 / $3,773.61 / $17,326.80	Professional		$3,520.87	$3,773.61	$17,326.80
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 $3,614.22 / $7,849.88 / $21,660.75	Professional		$3,614.22	$7,849.88	$21,660.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,651.00 / $11,277.95 / $17,300.66	Facility		$9,651.00	$11,277.95	$17,300.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,600.30 / $15,409.08 / $18,605.58	Professional		$5,600.30	$15,409.08	$18,605.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,466.30 / $4,805.00 / $8,086.72	Facility		$3,466.30	$4,805.00	$8,086.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,529.19 / $6,620.24 / $13,250.00	Facility		$3,529.19	$6,620.24	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,979.96 / $7,339.56 / $27,856.56	Professional		$3,979.96	$7,339.56	$27,856.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.24 / $2,265.25 / $7,166.92	Professional		$386.24	$2,265.25	$7,166.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,466.30 / $4,805.00 / $8,086.72	Facility		$3,466.30	$4,805.00	$8,086.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,450.95 / $9,078.70 / $13,552.70	Professional		$7,450.95	$9,078.70	$13,552.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,960.16 / $30,960.16 / $30,960.16	Facility		$30,960.16	$30,960.16	$30,960.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,948.86 / $18,124.30 / $27,856.56	Professional		$6,948.86	$18,124.30	$27,856.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,181.17 / $12,181.17 / $12,181.17	Professional		$12,181.17	$12,181.17	$12,181.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,668.86 / $18,748.38 / $23,636.95	Professional		$9,668.86	$18,748.38	$23,636.95
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 $3,979.96 / $7,032.23 / $16,493.11	Professional		$3,979.96	$7,032.23	$16,493.11