Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,315.86 / $6,148.91 / $14,482.00	Facility		$3,315.86	$6,148.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,890.08 / $3,315.86 / $5,141.62	Professional		$2,890.08	$3,315.86	$5,141.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,989.74 / $6,801.76 / $17,483.06	Professional		$2,989.74	$6,801.76	$17,483.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,664.03 / $8,956.02 / $13,738.76	Facility		$7,664.03	$8,956.02	$13,738.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,826.27 / $10,521.51 / $12,263.98	Professional		$3,826.27	$10,521.51	$12,263.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,006.14 / $3,653.96 / $5,969.45	Facility		$3,006.14	$3,653.96	$5,969.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.48 / $3,839.00 / $6,832.13	Facility		$2,818.48	$3,839.00	$6,832.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,332.13 / $6,540.85 / $22,633.12	Professional		$3,332.13	$6,540.85	$22,633.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.49 / $2,065.36 / $6,460.46	Professional		$229.49	$2,065.36	$6,460.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,006.14 / $3,689.35 / $5,969.45	Facility		$3,006.14	$3,689.35	$5,969.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,685.60 / $7,582.70 / $12,406.87	Professional		$5,685.60	$7,582.70	$12,406.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,584.75 / $57,766.24 / $57,766.24	Facility		$3,584.75	$57,766.24	$57,766.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,888.35 / $14,933.45 / $22,633.12	Professional		$4,888.35	$14,933.45	$22,633.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,023.89 / $11,023.89 / $11,023.89	Professional		$11,023.89	$11,023.89	$11,023.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,974.38 / $14,974.38 / $14,974.38	Professional		$14,974.38	$14,974.38	$14,974.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,330.71 / $6,037.50 / $13,477.44	Professional		$3,330.71	$6,037.50	$13,477.44