Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,709.67 / $6,045.79 / $14,482.00	Facility		$2,709.67	$6,045.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,709.67 / $2,820.13 / $10,271.50	Professional		$2,709.67	$2,820.13	$10,271.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,873.02 / $8,036.92 / $21,945.13	Professional		$2,873.02	$8,036.92	$21,945.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,573.91 / $8,850.71 / $14,275.89	Facility		$7,573.91	$8,850.71	$14,275.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,374.04 / $11,374.89 / $12,926.01	Professional		$5,374.04	$11,374.89	$12,926.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,709.67 / $4,022.23 / $5,885.73	Facility		$2,709.67	$4,022.23	$5,885.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,687.02 / $4,066.30 / $7,700.00	Facility		$2,687.02	$4,066.30	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,447.08 / $8,214.37 / $21,998.30	Professional		$3,447.08	$8,214.37	$21,998.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $2,029.09 / $6,495.34	Professional		$266.77	$2,029.09	$6,495.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,709.67 / $4,022.23 / $5,885.73	Facility		$2,709.67	$4,022.23	$5,885.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,318.65 / $9,721.00 / $12,861.61	Professional		$6,318.65	$9,721.00	$12,861.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43,940.16 / $43,940.16 / $43,940.16	Facility		$43,940.16	$43,940.16	$43,940.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,714.68 / $14,256.10 / $22,483.36	Professional		$5,714.68	$14,256.10	$22,483.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,204.24 / $10,204.24 / $10,204.24	Professional		$10,204.24	$10,204.24	$10,204.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,869.42 / $17,032.87 / $17,032.87	Professional		$9,869.42	$17,032.87	$17,032.87
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 $3,447.08 / $9,758.29 / $14,034.79	Professional		$3,447.08	$9,758.29	$14,034.79