Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,887.38 / $7,212.56 / $14,482.00	Facility		$3,887.38	$7,212.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,391.21 / $3,887.38 / $6,036.28	Professional		$3,391.21	$3,887.38	$6,036.28
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 $3,566.09 / $7,974.10 / $20,565.43	Professional		$3,566.09	$7,974.10	$20,565.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,017.51 / $10,537.67 / $16,165.06	Facility		$9,017.51	$10,537.67	$16,165.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,514.08 / $12,454.39 / $14,447.56	Professional		$4,514.08	$12,454.39	$14,447.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,526.14 / $4,280.52 / $6,992.10	Facility		$3,526.14	$4,280.52	$6,992.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,324.24 / $4,487.81 / $7,701.14	Facility		$3,324.24	$4,487.81	$7,701.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,973.14 / $7,761.73 / $26,686.64	Professional		$3,973.14	$7,761.73	$26,686.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $2,416.13 / $7,552.67	Professional		$282.83	$2,416.13	$7,552.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,526.14 / $4,358.66 / $6,992.10	Facility		$3,526.14	$4,358.66	$6,992.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,669.60 / $8,895.02 / $14,615.89	Professional		$6,669.60	$8,895.02	$14,615.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,232.83 / $68,071.84 / $68,071.84	Facility		$4,232.83	$68,071.84	$68,071.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,781.94 / $17,720.84 / $26,686.64	Professional		$5,781.94	$17,720.84	$26,686.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,967.49 / $12,967.49 / $12,967.49	Professional		$12,967.49	$12,967.49	$12,967.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,777.38 / $17,640.50 / $17,640.50	Professional		$11,777.38	$17,640.50	$17,640.50
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 $3,963.00 / $7,761.73 / $18,361.28	Professional		$3,963.00	$7,761.73	$18,361.28