Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,525.41 / $5,503.90 / $14,482.00	Facility		$2,525.41	$5,503.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,357.81 / $2,527.56 / $9,214.78	Professional		$2,357.81	$2,527.56	$9,214.78
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 $2,563.80 / $7,393.05 / $20,227.02	Professional		$2,563.80	$7,393.05	$20,227.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,063.88 / $8,254.70 / $13,314.54	Facility		$7,063.88	$8,254.70	$13,314.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,892.37 / $10,484.34 / $11,914.03	Professional		$4,892.37	$10,484.34	$11,914.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,525.41 / $3,131.11 / $5,259.29	Facility		$2,525.41	$3,131.11	$5,259.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,446.17 / $3,589.32 / $7,700.00	Facility		$2,446.17	$3,589.32	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,021.73 / $6,866.42 / $19,867.23	Professional		$3,021.73	$6,866.42	$19,867.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.41 / $1,650.52 / $5,357.10	Professional		$242.41	$1,650.52	$5,357.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,525.41 / $3,131.11 / $5,259.29	Facility		$2,525.41	$3,131.11	$5,259.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,262.40 / $8,096.00 / $11,277.35	Professional		$5,262.40	$8,096.00	$11,277.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,137.80 / $38,137.80 / $38,137.80	Facility		$38,137.80	$38,137.80	$38,137.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,267.28 / $12,875.05 / $20,151.52	Professional		$5,267.28	$12,875.05	$20,151.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,881.04 / $9,881.04 / $9,881.04	Professional		$9,881.04	$9,881.04	$9,881.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,984.82 / $15,699.34 / $15,699.34	Professional		$8,984.82	$15,699.34	$15,699.34
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 $3,055.14 / $8,311.25 / $12,786.31	Professional		$3,055.14	$8,311.25	$12,786.31