Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $5,386.46 / $14,482.00	Facility		$48.45	$5,386.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,414.58 / $2,512.64 / $9,169.32	Professional		$2,414.58	$2,512.64	$9,169.32
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 $2,565.41 / $7,173.39 / $19,551.53	Professional		$2,565.41	$7,173.39	$19,551.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,744.88 / $7,881.93 / $12,713.27	Facility		$6,744.88	$7,881.93	$12,713.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,787.95 / $10,134.20 / $11,516.15	Professional		$4,787.95	$10,134.20	$11,516.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,414.58 / $3,591.57 / $5,242.07	Facility		$2,414.58	$3,591.57	$5,242.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,824.45 / $7,700.00	Facility		$2,429.00	$3,824.45	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,074.92 / $7,473.02 / $19,620.41	Professional		$3,074.92	$7,473.02	$19,620.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.92 / $1,789.89 / $5,756.46	Professional		$260.92	$1,789.89	$5,756.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,414.58 / $3,591.57 / $5,242.07	Facility		$2,414.58	$3,591.57	$5,242.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,633.55 / $8,667.00 / $11,489.42	Professional		$5,633.55	$8,667.00	$11,489.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52,221.12 / $52,221.12 / $52,221.12	Facility		$52,221.12	$52,221.12	$52,221.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,091.37 / $12,715.10 / $20,038.56	Professional		$5,091.37	$12,715.10	$20,038.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,094.15 / $9,094.15 / $9,094.15	Professional		$9,094.15	$9,094.15	$9,094.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,793.09 / $15,175.04 / $15,175.04	Professional		$8,793.09	$15,175.04	$15,175.04
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 $3,094.46 / $8,544.54 / $12,511.07	Professional		$3,094.46	$8,544.54	$12,511.07