Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,589.80 / $8,003.97 / $14,482.00	Facility		$3,589.80	$8,003.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,554.52 / $3,589.80 / $11,683.10	Professional		$3,554.52	$3,589.80	$11,683.10
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 $3,802.88 / $10,260.83 / $27,703.14	Professional		$3,802.88	$10,260.83	$27,703.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,057.40 / $11,752.87 / $18,956.96	Facility		$10,057.40	$11,752.87	$18,956.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,114.64 / $15,028.52 / $17,077.86	Professional		$7,114.64	$15,028.52	$17,077.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,045.00 / $4,268.78 / $7,648.24	Facility		$3,045.00	$4,268.78	$7,648.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,669.00 / $4,232.87 / $7,868.00	Facility		$2,669.00	$4,232.87	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,372.84 / $9,603.18 / $29,187.05	Professional		$4,372.84	$9,603.18	$29,187.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $369.44 / $2,633.17 / $8,458.35	Professional		$369.44	$2,633.17	$8,458.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,045.00 / $4,268.78 / $7,648.24	Facility		$3,045.00	$4,268.78	$7,648.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,274.50 / $12,730.00 / $17,108.91	Professional		$8,274.50	$12,730.00	$17,108.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,626.04 / $57,626.04 / $57,626.04	Facility		$57,626.04	$57,626.04	$57,626.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,550.23 / $18,914.80 / $29,534.24	Professional		$7,550.23	$18,914.80	$29,534.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,568.64 / $13,568.64 / $13,568.64	Professional		$13,568.64	$13,568.64	$13,568.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,915.63 / $22,503.79 / $22,503.79	Professional		$11,915.63	$22,503.79	$22,503.79
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 $4,380.18 / $11,941.04 / $18,175.37	Professional		$4,380.18	$11,941.04	$18,175.37