Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,573.70 / $8,459.29 / $15,076.40	Facility		$4,573.70	$8,459.29	$15,076.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,995.26 / $4,573.70 / $12,545.02	Professional		$3,995.26	$4,573.70	$12,545.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,165.78 / $9,381.94 / $24,256.81	Professional		$4,165.78	$9,381.94	$24,256.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,550.31 / $12,328.88 / $18,912.81	Facility		$10,550.31	$12,328.88	$18,912.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,803.18 / $14,040.52 / $16,964.34	Professional		$4,803.18	$14,040.52	$16,964.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,443.80 / $4,755.64 / $8,171.33	Facility		$3,443.80	$4,755.64	$8,171.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,926.26 / $4,821.00 / $9,225.04	Facility		$2,926.26	$4,821.00	$9,225.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,042.92 / $9,624.56 / $31,438.56	Professional		$4,042.92	$9,624.56	$31,438.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.10 / $2,912.09 / $8,906.66	Professional		$332.10	$2,912.09	$8,906.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,443.80 / $4,755.64 / $8,171.33	Facility		$3,443.80	$4,755.64	$8,171.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,859.40 / $10,481.82 / $17,162.00	Professional		$7,859.40	$10,481.82	$17,162.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,017.04 / $80,180.96 / $80,180.96	Facility		$5,017.04	$80,180.96	$80,180.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,416.03 / $20,754.80 / $31,438.56	Professional		$7,416.03	$20,754.80	$31,438.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,295.09 / $15,295.09 / $15,295.09	Professional		$15,295.09	$15,295.09	$15,295.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,480.76 / $20,713.49 / $20,713.49	Professional		$14,480.76	$20,713.49	$20,713.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,182.60 / $8,829.37 / $18,803.84	Professional		$4,182.60	$8,829.37	$18,803.84