Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,553.72 / $5,961.65 / $14,482.00	Facility		$3,553.72	$5,961.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,321.75 / $3,553.72 / $10,273.29	Professional		$2,321.75	$3,553.72	$10,273.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,912.59 / $8,052.72 / $17,234.66	Professional		$2,912.59	$8,052.72	$17,234.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,606.35 / $8,888.62 / $14,337.04	Facility		$7,606.35	$8,888.62	$14,337.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.94 / $8,947.31 / $12,066.12	Professional		$3,947.94	$8,947.31	$12,066.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,914.58 / $4,077.63 / $5,696.68	Facility		$2,914.58	$4,077.63	$5,696.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,077.63 / $7,700.00	Facility		$2,678.00	$4,077.63	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,408.00 / $8,698.17 / $20,381.64	Professional		$3,408.00	$8,698.17	$20,381.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.44 / $1,802.12 / $5,808.76	Professional		$254.44	$1,802.12	$5,808.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,037.61 / $4,077.63 / $5,696.68	Facility		$3,037.61	$4,077.63	$5,696.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,705.70 / $8,810.48 / $11,843.91	Professional		$5,705.70	$8,810.48	$11,843.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,725.60 / $37,725.60 / $37,725.60	Facility		$37,725.60	$37,725.60	$37,725.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,069.14 / $14,360.55 / $21,757.92	Professional		$4,069.14	$14,360.55	$21,757.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,142.34 / $7,142.34 / $7,142.34	Professional		$7,142.34	$7,142.34	$7,142.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,819.09 / $17,461.54 / $17,461.54	Professional		$6,819.09	$17,461.54	$17,461.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,194.27 / $8,849.79 / $12,838.33	Professional		$3,194.27	$8,849.79	$12,838.33