Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,255.86 / $6,055.25 / $14,482.00	Facility		$3,255.86	$6,055.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,763.04 / $3,255.86 / $8,826.68	Professional		$2,763.04	$3,255.86	$8,826.68
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 $2,712.23 / $6,678.69 / $17,052.34	Professional		$2,712.23	$6,678.69	$17,052.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,567.61 / $8,843.35 / $13,565.92	Facility		$7,567.61	$8,843.35	$13,565.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,539.54 / $9,660.39 / $12,103.74	Professional		$3,539.54	$9,660.39	$12,103.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,861.25 / $3,502.04 / $5,875.89	Facility		$2,861.25	$3,502.04	$5,875.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $3,695.44 / $6,656.77	Facility		$2,803.00	$3,695.44	$6,656.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,078.08 / $6,800.54 / $22,337.92	Professional		$3,078.08	$6,800.54	$22,337.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $2,063.02 / $6,358.13	Professional		$225.59	$2,063.02	$6,358.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,861.25 / $3,502.04 / $5,875.89	Facility		$2,861.25	$3,502.04	$5,875.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,606.40 / $7,477.07 / $12,244.75	Professional		$5,606.40	$7,477.07	$12,244.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,539.93 / $57,078.72 / $57,078.72	Facility		$3,539.93	$57,078.72	$57,078.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,946.89 / $13,711.25 / $22,337.92	Professional		$4,946.89	$13,711.25	$22,337.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,858.31 / $10,858.31 / $10,858.31	Professional		$10,858.31	$10,858.31	$10,858.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,782.58 / $14,778.69 / $14,778.69	Professional		$9,782.58	$14,778.69	$14,778.69
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 $3,010.55 / $5,708.34 / $12,374.40	Professional		$3,010.55	$5,708.34	$12,374.40