Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,475.79 / $8,352.96 / $14,886.80	Facility		$4,475.79	$8,352.96	$14,886.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,803.14 / $4,475.79 / $12,069.08	Professional		$3,803.14	$4,475.79	$12,069.08
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 $3,989.14 / $9,181.10 / $23,623.43	Professional		$3,989.14	$9,181.10	$23,623.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,442.18 / $12,202.51 / $18,718.97	Facility		$10,442.18	$12,202.51	$18,718.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,737.49 / $13,962.85 / $16,673.81	Professional		$4,737.49	$13,962.85	$16,673.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,783.15 / $4,835.41 / $8,607.87	Facility		$3,783.15	$4,835.41	$8,607.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,612.68 / $4,827.99 / $8,852.71	Facility		$3,612.68	$4,827.99	$8,852.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,209.85 / $9,213.48 / $30,727.60	Professional		$4,209.85	$9,213.48	$30,727.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.65 / $2,858.29 / $8,763.07	Professional		$329.65	$2,858.29	$8,763.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,712.43 / $4,952.14 / $8,607.87	Facility		$3,712.43	$4,952.14	$8,607.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,717.20 / $10,292.17 / $16,868.08	Professional		$7,717.20	$10,292.17	$16,868.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,856.28 / $68,706.25 / $68,706.25	Facility		$4,856.28	$68,706.25	$68,706.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,207.28 / $19,977.20 / $30,727.60	Professional		$7,207.28	$19,977.20	$30,727.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,895.71 / $14,895.71 / $14,895.71	Professional		$14,895.71	$14,895.71	$14,895.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,494.68 / $20,358.75 / $20,358.75	Professional		$13,494.68	$20,358.75	$20,358.75
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 $4,110.14 / $8,096.46 / $18,029.41	Professional		$4,110.14	$8,096.46	$18,029.41