Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,596.99 / $6,548.69 / $14,482.00	Facility		$3,596.99	$6,548.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,572.23 / $3,596.99 / $8,889.99	Professional		$2,572.23	$3,596.99	$8,889.99
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 $3,074.35 / $6,972.58 / $18,861.73	Professional		$3,074.35	$6,972.58	$18,861.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,318.24 / $9,720.52 / $14,911.53	Facility		$8,318.24	$9,720.52	$14,911.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,521.68 / $10,890.66 / $13,333.58	Professional		$3,521.68	$10,890.66	$13,333.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,057.42 / $3,845.94 / $7,154.80	Facility		$3,057.42	$3,845.94	$7,154.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,924.80 / $3,981.31 / $8,731.59	Facility		$2,924.80	$3,981.31	$8,731.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,191.14 / $7,360.43 / $24,628.96	Professional		$3,191.14	$7,360.43	$24,628.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $2,254.27 / $6,953.86	Professional		$245.10	$2,254.27	$6,953.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,057.42 / $3,845.94 / $7,154.80	Facility		$3,057.42	$3,845.94	$7,154.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,069.60 / $8,094.82 / $13,488.93	Professional		$6,069.60	$8,094.82	$13,488.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,904.99 / $62,770.24 / $62,770.24	Facility		$3,904.99	$62,770.24	$62,770.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,304.64 / $16,274.30 / $24,628.96	Professional		$5,304.64	$16,274.30	$24,628.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,983.69 / $11,983.69 / $11,983.69	Professional		$11,983.69	$11,983.69	$11,983.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,315.87 / $16,280.36 / $16,280.36	Professional		$9,315.87	$16,280.36	$16,280.36
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 $3,272.17 / $6,474.57 / $14,687.56	Professional		$3,272.17	$6,474.57	$14,687.56