Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,833.51 / $5,751.25 / $14,482.00	Facility		$2,833.51	$5,751.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,736.04 / $2,882.50 / $9,476.14	Professional		$2,736.04	$2,882.50	$9,476.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,704.06 / $7,179.55 / $19,196.41	Professional		$2,704.06	$7,179.55	$19,196.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,221.58 / $8,438.98 / $13,611.78	Facility		$7,221.58	$8,438.98	$13,611.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,489.39 / $8,731.68 / $11,560.74	Professional		$5,489.39	$8,731.68	$11,560.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,811.72 / $3,785.68 / $5,495.64	Facility		$2,811.72	$3,785.68	$5,495.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,096.39 / $7,700.00	Facility		$2,678.00	$4,096.39	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,245.04 / $7,046.69 / $18,440.84	Professional		$3,245.04	$7,046.69	$18,440.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $1,925.46 / $6,023.21	Professional		$186.38	$1,925.46	$6,023.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,833.51 / $3,935.06 / $5,495.64	Facility		$2,833.51	$3,935.06	$5,495.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,709.60 / $8,784.00 / $11,106.23	Professional		$5,709.60	$8,784.00	$11,106.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36,969.90 / $36,969.90 / $36,969.90	Facility		$36,969.90	$36,969.90	$36,969.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,751.71 / $30,904.28 / $30,904.28	Professional		$11,751.71	$30,904.28	$30,904.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,380.15 / $14,380.15 / $14,380.15	Professional		$14,380.15	$14,380.15	$14,380.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,281.77 / $16,510.64 / $16,510.64	Professional		$13,281.77	$16,510.64	$16,510.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,245.04 / $8,050.02 / $13,505.87	Professional		$3,245.04	$8,050.02	$13,505.87