Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,734.03 / $5,250.40 / $9,357.37	Facility		$3,734.03	$5,250.40	$9,357.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $3,734.03 / $8,123.52	Professional		$1,950.00	$3,734.03	$8,123.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,192.07 / $6,133.00 / $10,984.69	Professional		$2,192.07	$6,133.00	$10,984.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,648.46 / $7,769.26 / $12,531.53	Facility		$6,648.46	$7,769.26	$12,531.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,616.93 / $7,425.78 / $8,798.33	Professional		$3,616.93	$7,425.78	$8,798.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,566.86 / $3,734.03 / $7,459.74	Facility		$2,566.86	$3,734.03	$7,459.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,333.51 / $3,734.03 / $7,700.00	Facility		$2,333.51	$3,734.03	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,494.51 / $5,167.83 / $9,680.44	Professional		$2,494.51	$5,167.83	$9,680.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $3,040.49 / $6,679.24	Professional		$85.00	$3,040.49	$6,679.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,566.86 / $3,734.03 / $7,459.74	Facility		$2,566.86	$3,734.03	$7,459.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,313.75 / $6,985.54 / $9,283.53	Professional		$5,313.75	$6,985.54	$9,283.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,101.12 / $25,101.12 / $25,101.12	Facility		$25,101.12	$25,101.12	$25,101.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,730.34 / $11,036.70 / $19,519.36	Professional		$3,730.34	$11,036.70	$19,519.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,694.72 / $4,694.72 / $4,694.72	Professional		$4,694.72	$4,694.72	$4,694.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,476.72 / $8,026.40 / $8,026.40	Professional		$4,476.72	$8,026.40	$8,026.40
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 $2,540.81 / $5,065.39 / $7,076.29	Professional		$2,540.81	$5,065.39	$7,076.29