Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,747.27 / $6,999.07 / $14,482.00	Facility		$3,747.27	$6,999.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,185.25 / $3,747.27 / $10,091.29	Professional		$3,185.25	$3,747.27	$10,091.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,347.14 / $7,686.71 / $19,770.49	Professional		$3,347.14	$7,686.71	$19,770.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,750.78 / $10,225.96 / $16,494.13	Facility		$8,750.78	$10,225.96	$16,494.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,659.32 / $12,290.65 / $13,966.65	Professional		$6,659.32	$12,290.65	$13,966.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,163.98 / $4,039.81 / $7,197.40	Facility		$3,163.98	$4,039.81	$7,197.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,047.85 / $4,255.89 / $7,700.00	Facility		$3,047.85	$4,255.89	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,649.37 / $7,840.55 / $25,728.72	Professional		$3,649.37	$7,840.55	$25,728.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $2,373.98 / $7,320.32	Professional		$262.10	$2,373.98	$7,320.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,110.70 / $4,117.10 / $7,197.40	Facility		$3,110.70	$4,117.10	$7,197.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,463.80 / $8,620.54 / $14,129.37	Professional		$6,463.80	$8,620.54	$14,129.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,531.46 / $57,531.46 / $57,531.46	Facility		$57,531.46	$57,531.46	$57,531.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,288.13 / $25,728.72 / $25,728.72	Professional		$14,288.13	$25,728.72	$25,728.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,466.25 / $12,466.25 / $12,466.25	Professional		$12,466.25	$12,466.25	$12,466.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,307.39 / $17,053.33 / $17,053.33	Professional		$11,307.39	$17,053.33	$17,053.33
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 $3,606.11 / $6,645.18 / $15,074.59	Professional		$3,606.11	$6,645.18	$15,074.59