Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,426.67 / $8,236.84 / $14,679.90	Facility		$4,426.67	$8,236.84	$14,679.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,759.66 / $4,426.67 / $11,973.83	Professional		$3,759.66	$4,426.67	$11,973.83
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 $3,933.17 / $9,080.34 / $23,414.07	Professional		$3,933.17	$9,080.34	$23,414.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,298.90 / $12,035.08 / $18,462.12	Facility		$10,298.90	$12,035.08	$18,462.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,602.14 / $13,759.71 / $16,455.15	Professional		$4,602.14	$13,759.71	$16,455.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,660.82 / $4,685.85 / $8,008.15	Facility		$3,660.82	$4,685.85	$8,008.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,364.00 / $4,779.00 / $8,703.00	Facility		$3,364.00	$4,779.00	$8,703.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,132.18 / $9,364.20 / $31,718.87	Professional		$4,132.18	$9,364.20	$31,718.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $2,799.87 / $8,627.84	Professional		$312.95	$2,799.87	$8,627.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,660.82 / $4,685.85 / $8,008.15	Facility		$3,660.82	$4,685.85	$8,008.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,617.00 / $10,158.54 / $16,646.87	Professional		$7,617.00	$10,158.54	$16,646.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,800.85 / $38,768.08 / $38,768.08	Facility		$4,800.85	$38,768.08	$38,768.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,057.49 / $19,784.09 / $31,718.87	Professional		$7,057.49	$19,784.09	$31,718.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,763.70 / $14,763.70 / $14,763.70	Professional		$14,763.70	$14,763.70	$14,763.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,307.08 / $20,091.75 / $20,091.75	Professional		$13,307.08	$20,091.75	$20,091.75
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 $4,072.86 / $8,406.42 / $17,855.15	Professional		$4,072.86	$8,406.42	$17,855.15