Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,640.10 / $8,592.23 / $15,313.30	Facility		$4,640.10	$8,592.23	$15,313.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,054.30 / $4,640.10 / $12,698.00	Professional		$4,054.30	$4,640.10	$12,698.00
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 $4,200.80 / $9,518.15 / $24,587.90	Professional		$4,200.80	$9,518.15	$24,587.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,717.92 / $12,524.74 / $19,213.27	Facility		$10,717.92	$12,524.74	$19,213.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,868.64 / $14,272.34 / $17,221.06	Professional		$4,868.64	$14,272.34	$17,221.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,594.99 / $4,816.97 / $8,305.96	Facility		$3,594.99	$4,816.97	$8,305.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,867.25 / $4,865.16 / $9,301.59	Facility		$2,867.25	$4,865.16	$9,301.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,074.13 / $9,695.37 / $31,893.44	Professional		$4,074.13	$9,695.37	$31,893.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.10 / $2,936.33 / $9,087.73	Professional		$332.10	$2,936.33	$9,087.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,594.99 / $4,816.97 / $8,305.96	Facility		$3,594.99	$4,816.97	$8,305.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,975.20 / $10,636.26 / $17,421.71	Professional		$7,975.20	$10,636.26	$17,421.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,083.51 / $81,344.80 / $81,344.80	Facility		$5,083.51	$81,344.80	$81,344.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,514.04 / $21,022.05 / $31,893.44	Professional		$7,514.04	$21,022.05	$31,893.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,503.84 / $15,503.84 / $15,503.84	Professional		$15,503.84	$15,503.84	$15,503.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,632.52 / $21,026.95 / $21,026.95	Professional		$14,632.52	$21,026.95	$21,026.95
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 $4,230.02 / $9,249.70 / $18,448.02	Professional		$4,230.02	$9,249.70	$18,448.02