Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,819.49 / $6,235.00 / $14,482.00	Facility		$2,819.49	$6,235.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,819.49 / $2,909.54 / $10,684.60	Professional		$2,819.49	$2,909.54	$10,684.60
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 $2,994.23 / $8,365.00 / $22,738.90	Professional		$2,994.23	$8,365.00	$22,738.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,873.99 / $9,201.37 / $14,841.49	Facility		$7,873.99	$9,201.37	$14,841.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,542.22 / $11,786.35 / $13,393.58	Professional		$5,542.22	$11,786.35	$13,393.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,819.49 / $4,191.92 / $5,957.89	Facility		$2,819.49	$4,191.92	$5,957.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,771.11 / $4,191.92 / $7,700.00	Facility		$2,771.11	$4,191.92	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,573.56 / $8,184.68 / $22,886.50	Professional		$3,573.56	$8,184.68	$22,886.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $291.66 / $2,062.61 / $6,573.08	Professional		$291.66	$2,062.61	$6,573.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,819.49 / $4,191.92 / $5,957.89	Facility		$2,819.49	$4,191.92	$5,957.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,474.65 / $9,961.00 / $13,326.70	Professional		$6,474.65	$9,961.00	$13,326.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60,413.12 / $60,413.12 / $60,413.12	Facility		$60,413.12	$60,413.12	$60,413.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,921.39 / $14,831.70 / $23,209.12	Professional		$5,921.39	$14,831.70	$23,209.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,672.12 / $10,672.12 / $10,672.12	Professional		$10,672.12	$10,672.12	$10,672.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,178.29 / $17,648.99 / $17,648.99	Professional		$10,178.29	$17,648.99	$17,648.99
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 $3,559.61 / $9,093.18 / $14,990.70	Professional		$3,559.61	$9,093.18	$14,990.70