Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,930.90 / $7,287.23 / $14,482.00	Facility		$3,930.90	$7,287.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,433.78 / $3,930.90 / $10,723.46	Professional		$3,433.78	$3,930.90	$10,723.46
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 $3,424.90 / $8,063.38 / $20,818.37	Professional		$3,424.90	$8,063.38	$20,818.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,098.61 / $10,632.44 / $16,310.44	Facility		$9,098.61	$10,632.44	$16,310.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,117.64 / $12,117.87 / $14,602.49	Professional		$4,117.64	$12,117.87	$14,602.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,839.03 / $4,067.33 / $7,052.69	Facility		$2,839.03	$4,067.33	$7,052.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,752.95 / $4,263.10 / $7,923.96	Facility		$2,752.95	$4,263.10	$7,923.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,473.22 / $8,192.81 / $27,015.52	Professional		$3,473.22	$8,192.81	$27,015.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $2,504.75 / $7,695.07	Professional		$286.14	$2,504.75	$7,695.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,839.03 / $4,067.33 / $7,052.69	Facility		$2,839.03	$4,067.33	$7,052.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,754.20 / $9,007.85 / $14,772.62	Professional		$6,754.20	$9,007.85	$14,772.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,297.76 / $68,910.56 / $68,910.56	Facility		$4,297.76	$68,910.56	$68,910.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,349.26 / $17,752.75 / $27,015.52	Professional		$6,349.26	$17,752.75	$27,015.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,126.96 / $13,126.96 / $13,126.96	Professional		$13,126.96	$13,126.96	$13,126.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,981.35 / $17,829.68 / $17,829.68	Professional		$11,981.35	$17,829.68	$17,829.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,572.57 / $7,324.38 / $16,083.99	Professional		$3,572.57	$7,324.38	$16,083.99