Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,274.19 / $6,828.93 / $14,482.00	Facility		$3,274.19	$6,828.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,147.15 / $3,376.82 / $15,450.30	Professional		$3,147.15	$3,376.82	$15,450.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,220.81 / $6,849.75 / $20,315.59	Professional		$3,220.81	$6,849.75	$20,315.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,648.04 / $10,105.93 / $15,502.75	Facility		$8,648.04	$10,105.93	$15,502.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,624.89 / $13,801.31 / $16,654.91	Professional		$4,624.89	$13,801.31	$16,654.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,035.08 / $4,283.74 / $7,235.96	Facility		$3,035.08	$4,283.74	$7,235.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,241.14 / $5,775.00 / $14,270.00	Facility		$3,241.14	$5,775.00	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,418.21 / $6,496.88 / $24,911.84	Professional		$3,418.21	$6,496.88	$24,911.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.40 / $2,003.68 / $6,416.51	Professional		$324.40	$2,003.68	$6,416.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,035.08 / $4,283.74 / $7,235.96	Facility		$3,035.08	$4,283.74	$7,235.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,660.55 / $8,115.62 / $12,115.03	Professional		$6,660.55	$8,115.62	$12,115.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,693.12 / $27,693.12 / $27,693.12	Facility		$27,693.12	$27,693.12	$27,693.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,220.31 / $16,161.40 / $24,911.84	Professional		$6,220.31	$16,161.40	$24,911.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,896.76 / $10,896.76 / $10,896.76	Professional		$10,896.76	$10,896.76	$10,896.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,797.99 / $16,758.79 / $21,158.74	Professional		$9,797.99	$16,758.79	$21,158.74
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 $3,482.20 / $6,593.85 / $14,222.03	Professional		$3,482.20	$6,593.85	$14,222.03