Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,087.78 / $7,609.00 / $14,482.00	Facility		$4,087.78	$7,609.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,398.18 / $4,087.78 / $11,045.24	Professional		$3,398.18	$4,087.78	$11,045.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,644.05 / $8,385.19 / $21,619.07	Professional		$3,644.05	$8,385.19	$21,619.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,515.83 / $11,120.00 / $17,058.36	Facility		$9,515.83	$11,120.00	$17,058.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,247.16 / $12,716.53 / $15,197.99	Professional		$4,247.16	$12,716.53	$15,197.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,380.26 / $4,321.35 / $7,400.88	Facility		$3,380.26	$4,321.35	$7,400.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,349.96 / $4,406.14 / $8,032.00	Facility		$3,349.96	$4,406.14	$8,032.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,927.98 / $8,989.92 / $28,880.07	Professional		$3,927.98	$8,989.92	$28,880.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $2,600.67 / $7,995.94	Professional		$312.95	$2,600.67	$7,995.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,381.78 / $4,321.35 / $7,400.88	Facility		$3,381.78	$4,321.35	$7,400.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,032.60 / $9,379.14 / $15,375.06	Professional		$7,032.60	$9,379.14	$15,375.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,429.10 / $35,793.12 / $35,793.12	Facility		$4,429.10	$35,793.12	$35,793.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,498.18 / $18,243.90 / $28,880.07	Professional		$6,498.18	$18,243.90	$28,880.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,631.88 / $13,631.88 / $13,631.88	Professional		$13,631.88	$13,631.88	$13,631.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,292.77 / $18,556.79 / $18,556.79	Professional		$12,292.77	$18,556.79	$18,556.79
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 $3,752.43 / $7,186.27 / $16,465.12	Professional		$3,752.43	$7,186.27	$16,465.12