Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,918.10 / $9,187.99 / $16,375.00	Facility		$4,918.10	$9,187.99	$16,375.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,184.13 / $4,918.10 / $16,375.00	Professional		$4,184.13	$4,918.10	$16,375.00
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 $4,406.24 / $10,088.43 / $25,974.89	Professional		$4,406.24	$10,088.43	$25,974.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,481.17 / $13,416.66 / $20,581.49	Facility		$11,481.17	$13,416.66	$20,581.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,202.05 / $15,351.37 / $18,342.09	Professional		$5,202.05	$15,351.37	$18,342.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,169.27 / $5,321.24 / $9,466.33	Facility		$4,169.27	$5,321.24	$9,466.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,967.52 / $5,321.27 / $9,645.00	Facility		$3,967.52	$5,321.27	$9,645.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,810.77 / $10,304.15 / $33,817.44	Professional		$4,810.77	$10,304.15	$33,817.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.15 / $3,127.28 / $9,633.44	Professional		$357.15	$3,127.28	$9,633.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,083.55 / $5,430.48 / $9,466.33	Facility		$4,083.55	$5,430.48	$9,466.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,494.79 / $11,329.23 / $18,555.79	Professional		$8,494.79	$11,329.23	$18,555.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,349.05 / $75,609.80 / $75,609.80	Facility		$5,349.05	$75,609.80	$75,609.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,942.40 / $22,018.85 / $33,817.44	Professional		$7,942.40	$22,018.85	$33,817.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,378.40 / $16,378.40 / $16,378.40	Professional		$16,378.40	$16,378.40	$16,378.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,843.70 / $22,395.72 / $22,395.72	Professional		$14,843.70	$22,395.72	$22,395.72
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 $4,624.12 / $8,759.98 / $19,872.00	Professional		$4,624.12	$8,759.98	$19,872.00