Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,834.53 / $6,244.52 / $14,482.00	Facility		$2,834.53	$6,244.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,834.53 / $2,846.64 / $10,598.10	Professional		$2,834.53	$2,846.64	$10,598.10
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 $2,953.21 / $8,292.29 / $22,828.88	Professional		$2,953.21	$8,292.29	$22,828.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,927.15 / $9,263.50 / $14,941.70	Facility		$7,927.15	$9,263.50	$14,941.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,550.68 / $11,833.01 / $13,446.60	Professional		$5,550.68	$11,833.01	$13,446.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,834.53 / $3,571.48 / $5,966.98	Facility		$2,834.53	$3,571.48	$5,966.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,775.34 / $4,096.39 / $7,700.00	Facility		$2,775.34	$4,096.39	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,532.28 / $7,750.53 / $22,673.01	Professional		$3,532.28	$7,750.53	$22,673.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $291.66 / $2,050.51 / $6,621.60	Professional		$291.66	$2,050.51	$6,621.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,834.53 / $3,571.48 / $5,966.98	Facility		$2,834.53	$3,571.48	$5,966.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,447.35 / $9,919.00 / $13,087.36	Professional		$6,447.35	$9,919.00	$13,087.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,308.76 / $45,308.76 / $45,308.76	Facility		$45,308.76	$45,308.76	$45,308.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,944.82 / $14,693.35 / $23,227.76	Professional		$5,944.82	$14,693.35	$23,227.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,749.96 / $10,749.96 / $10,749.96	Professional		$10,749.96	$10,749.96	$10,749.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,193.82 / $17,718.82 / $17,718.82	Professional		$10,193.82	$17,718.82	$17,718.82
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 $3,532.28 / $8,968.24 / $14,351.41	Professional		$3,532.28	$8,968.24	$14,351.41