Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,084.58 / $6,874.76 / $14,482.00	Facility		$3,084.58	$6,874.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,084.58 / $3,243.61 / $11,772.10	Professional		$3,084.58	$3,243.61	$11,772.10
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 $3,317.25 / $9,230.34 / $24,957.60	Professional		$3,317.25	$9,230.34	$24,957.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,598.49 / $10,048.01 / $16,207.09	Facility		$8,598.49	$10,048.01	$16,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,110.90 / $12,936.36 / $14,700.41	Professional		$6,110.90	$12,936.36	$14,700.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,084.58 / $4,031.11 / $6,681.15	Facility		$3,084.58	$4,031.11	$6,681.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $4,384.42 / $7,875.00	Facility		$2,803.00	$4,384.42	$7,875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,954.44 / $9,625.92 / $25,196.88	Professional		$3,954.44	$9,625.92	$25,196.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.25 / $2,274.48 / $7,388.28	Professional		$320.25	$2,274.48	$7,388.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,084.58 / $4,031.11 / $6,681.15	Facility		$3,084.58	$4,031.11	$6,681.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,210.45 / $11,093.00 / $14,745.72	Professional		$7,210.45	$11,093.00	$14,745.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66,794.08 / $66,794.08 / $66,794.08	Facility		$66,794.08	$66,794.08	$66,794.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,499.16 / $16,328.95 / $25,619.68	Professional		$6,499.16	$16,328.95	$25,619.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,622.41 / $11,622.41 / $11,622.41	Professional		$11,622.41	$11,622.41	$11,622.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,222.67 / $19,371.06 / $19,371.06	Professional		$11,222.67	$19,371.06	$19,371.06
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 $3,954.44 / $10,074.16 / $18,059.49	Professional		$3,954.44	$10,074.16	$18,059.49