Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,233.35 / $5,225.85 / $14,482.00	Facility		$3,233.35	$5,225.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,785.15 / $3,233.35 / $9,169.49	Professional		$1,785.15	$3,233.35	$9,169.49
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 $2,566.27 / $5,791.07 / $15,082.88	Professional		$2,566.27	$5,791.07	$15,082.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,525.01 / $7,624.99 / $12,298.84	Facility		$6,525.01	$7,624.99	$12,298.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,412.95 / $7,887.59 / $10,452.43	Professional		$4,412.95	$7,887.59	$10,452.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,554.86 / $4,050.36 / $5,725.95	Facility		$2,554.86	$4,050.36	$5,725.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,496.00 / $4,050.36 / $9,231.89	Facility		$2,496.00	$4,050.36	$9,231.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,082.90 / $7,732.47 / $15,046.93	Professional		$3,082.90	$7,732.47	$15,046.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $1,828.79 / $5,690.04	Professional		$171.04	$1,828.79	$5,690.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,554.86 / $4,050.36 / $5,725.95	Facility		$2,554.86	$4,050.36	$5,725.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,241.60 / $8,093.84 / $10,604.48	Professional		$5,241.60	$8,093.84	$10,604.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $49,441.76 / $49,441.76 / $49,441.76	Facility		$49,441.76	$49,441.76	$49,441.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,527.75 / $12,759.85 / $19,402.80	Professional		$4,527.75	$12,759.85	$19,402.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,219.95 / $13,219.95 / $13,219.95	Professional		$13,219.95	$13,219.95	$13,219.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,176.56 / $17,674.74 / $17,674.74	Professional		$7,176.56	$17,674.74	$17,674.74
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 $3,082.90 / $7,732.47 / $12,555.91	Professional		$3,082.90	$7,732.47	$12,555.91