Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,127.76 / $9,522.43 / $16,971.09	Facility		$5,127.76	$9,522.43	$16,971.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,344.31 / $5,127.76 / $16,203.30	Professional		$4,344.31	$5,127.76	$16,203.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,224.00 / $11,448.40	Facility		$5,169.00	$8,224.00	$11,448.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,517.13 / $10,518.48 / $27,143.06	Professional		$4,517.13	$10,518.48	$27,143.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,882.17 / $13,885.25 / $21,300.33	Facility		$11,882.17	$13,885.25	$21,300.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,387.15 / $15,861.61 / $19,039.78	Professional		$5,387.15	$15,861.61	$19,039.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,518.41 / $5,259.76 / $9,231.26	Facility		$3,518.41	$5,259.76	$9,231.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,333.23 / $5,348.87 / $10,122.00	Facility		$3,333.23	$5,348.87	$10,122.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,080.97 / $11,584.57 / $35,203.28	Professional		$5,080.97	$11,584.57	$35,203.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.12 / $3,267.72 / $10,042.85	Professional		$371.12	$3,267.72	$10,042.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,333.23 / $5,243.15 / $9,231.26	Facility		$3,333.23	$5,243.15	$9,231.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,839.20 / $11,788.55 / $19,261.59	Professional		$8,839.20	$11,788.55	$19,261.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,597.96 / $44,973.44 / $44,973.44	Facility		$5,597.96	$44,973.44	$44,973.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,315.99 / $23,095.35 / $35,203.28	Professional		$8,315.99	$23,095.35	$35,203.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17,115.00 / $17,115.00 / $17,115.00	Professional		$17,115.00	$17,115.00	$17,115.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,384.01 / $23,247.59 / $23,247.59	Professional		$15,384.01	$23,247.59	$23,247.59
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 $4,891.10 / $10,161.95 / $20,843.55	Professional		$4,891.10	$10,161.95	$20,843.55