Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,380.36 / $5,778.43 / $14,482.00	Facility		$2,380.36	$5,778.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,380.36 / $2,643.24 / $9,355.87	Professional		$2,380.36	$2,643.24	$9,355.87
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 $2,514.92 / $7,447.84 / $20,578.81	Professional		$2,514.92	$7,447.84	$20,578.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,303.58 / $8,534.81 / $13,766.34	Facility		$7,303.58	$8,534.81	$13,766.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,136.37 / $10,923.50 / $12,413.06	Professional		$5,136.37	$10,923.50	$12,413.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,380.36 / $3,419.79 / $5,521.61	Facility		$2,380.36	$3,419.79	$5,521.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $3,720.99 / $7,700.00	Facility		$2,553.00	$3,720.99	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,998.88 / $7,244.23 / $19,318.28	Professional		$2,998.88	$7,244.23	$19,318.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.96 / $2,447.23 / $6,531.98	Professional		$306.96	$2,447.23	$6,531.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,380.36 / $3,419.79 / $5,521.61	Facility		$2,380.36	$3,419.79	$5,521.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,982.35 / $9,214.00 / $11,552.15	Professional		$5,982.35	$9,214.00	$11,552.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,937.72 / $41,937.72 / $41,937.72	Facility		$41,937.72	$41,937.72	$41,937.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,487.90 / $12,519.30 / $21,487.76	Professional		$5,487.90	$12,519.30	$21,487.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,996.11 / $8,996.11 / $8,996.11	Professional		$8,996.11	$8,996.11	$8,996.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,214.32 / $16,356.93 / $16,356.93	Professional		$9,214.32	$16,356.93	$16,356.93
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 $2,998.88 / $8,412.96 / $12,653.51	Professional		$2,998.88	$8,412.96	$12,653.51