Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $5,606.89 / $14,482.00	Facility		$2,673.00	$5,606.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.73 / $2,772.85 / $12,818.00	Professional		$2,581.73	$2,772.85	$12,818.00
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 $2,695.94 / $6,168.45 / $16,549.72	Professional		$2,695.94	$6,168.45	$16,549.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,038.65 / $8,225.21 / $12,617.69	Facility		$7,038.65	$8,225.21	$12,617.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,974.67 / $10,872.83 / $12,355.49	Professional		$3,974.67	$10,872.83	$12,355.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $3,722.06 / $5,907.33	Facility		$2,673.00	$3,722.06	$5,907.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $4,725.00 / $14,246.00	Facility		$2,673.00	$4,725.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,982.03 / $5,475.75 / $20,458.32	Professional		$2,982.03	$5,475.75	$20,458.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.90 / $1,640.27 / $5,240.28	Professional		$294.90	$1,640.27	$5,240.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $3,720.90 / $5,907.33	Facility		$2,673.00	$3,720.90	$5,907.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,493.80 / $6,693.98 / $9,992.79	Professional		$5,493.80	$6,693.98	$9,992.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35,707.43 / $35,707.43 / $35,707.43	Facility		$35,707.43	$35,707.43	$35,707.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,086.93 / $13,407.90 / $20,458.32	Professional		$5,086.93	$13,407.90	$20,458.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,876.84 / $8,876.84 / $8,876.84	Professional		$8,876.84	$8,876.84	$8,876.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,181.45 / $13,702.92 / $17,303.49	Professional		$8,181.45	$13,702.92	$17,303.49
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,952.13 / $5,363.16 / $12,281.64	Professional		$2,952.13	$5,363.16	$12,281.64