Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,733.97 / $6,909.25 / $14,482.00	Facility		$3,733.97	$6,909.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,261.17 / $3,733.97 / $10,226.95	Professional		$3,261.17	$3,733.97	$10,226.95
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 $3,394.21 / $7,659.43 / $19,797.29	Professional		$3,394.21	$7,659.43	$19,797.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,621.92 / $10,075.39 / $15,455.91	Facility		$8,621.92	$10,075.39	$15,455.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,918.55 / $11,473.79 / $13,855.10	Professional		$3,918.55	$11,473.79	$13,855.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,070.78 / $4,118.85 / $6,677.64	Facility		$3,070.78	$4,118.85	$6,677.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,807.81 / $4,299.09 / $7,598.51	Facility		$2,807.81	$4,299.09	$7,598.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,430.01 / $7,854.84 / $25,664.16	Professional		$3,430.01	$7,854.84	$25,664.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.28 / $2,354.60 / $7,249.30	Professional		$263.28	$2,354.60	$7,249.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,070.78 / $4,108.35 / $6,677.64	Facility		$3,070.78	$4,108.35	$6,677.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,415.20 / $8,555.74 / $14,016.52	Professional		$6,415.20	$8,555.74	$14,016.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,091.99 / $65,457.60 / $65,457.60	Facility		$4,091.99	$65,457.60	$65,457.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,047.21 / $16,915.09 / $25,664.16	Professional		$6,047.21	$16,915.09	$25,664.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,483.15 / $12,483.15 / $12,483.15	Professional		$12,483.15	$12,483.15	$12,483.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,777.84 / $16,917.09 / $16,917.09	Professional		$11,777.84	$16,917.09	$16,917.09
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 $3,430.01 / $7,199.96 / $15,325.08	Professional		$3,430.01	$7,199.96	$15,325.08