Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,982.79 / $6,751.46 / $14,482.00	Facility		$3,982.79	$6,751.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,638.16 / $3,982.79 / $11,711.10	Professional		$2,638.16	$3,982.79	$11,711.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,296.53 / $9,187.86 / $19,723.74	Professional		$3,296.53	$9,187.86	$19,723.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,430.87 / $9,852.15 / $15,891.17	Facility		$8,430.87	$9,852.15	$15,891.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,701.24 / $10,076.44 / $13,453.41	Professional		$5,701.24	$10,076.44	$13,453.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,000.65 / $3,982.79 / $6,451.40	Facility		$3,000.65	$3,982.79	$6,451.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $3,982.79 / $7,700.00	Facility		$2,553.00	$3,982.79	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,214.58 / $9,817.29 / $23,327.14	Professional		$3,214.58	$9,817.29	$23,327.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $284.62 / $2,183.06 / $7,003.47	Professional		$284.62	$2,183.06	$7,003.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,000.65 / $3,982.79 / $6,451.40	Facility		$3,000.65	$3,982.79	$6,451.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,777.55 / $10,457.31 / $13,365.49	Professional		$6,777.55	$10,457.31	$13,365.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63,838.08 / $63,838.08 / $63,838.08	Facility		$63,838.08	$63,838.08	$63,838.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,843.65 / $16,435.90 / $25,026.08	Professional		$5,843.65	$16,435.90	$25,026.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,075.53 / $8,075.53 / $8,075.53	Professional		$8,075.53	$8,075.53	$8,075.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,707.24 / $19,665.16 / $19,665.16	Professional		$7,707.24	$19,665.16	$19,665.16
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 $3,375.23 / $8,997.67 / $14,693.69	Professional		$3,375.23	$8,997.67	$14,693.69