Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,903.31 / $8,694.50 / $15,495.50	Facility		$3,903.31	$8,694.50	$15,495.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,903.31 / $4,131.45 / $14,889.50	Professional		$3,903.31	$4,131.45	$14,889.50
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 $4,226.47 / $11,776.98 / $31,570.99	Professional		$4,226.47	$11,776.98	$31,570.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,872.01 / $12,704.81 / $20,492.40	Facility		$10,872.01	$12,704.81	$20,492.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,728.43 / $16,364.35 / $18,595.84	Professional		$7,728.43	$16,364.35	$18,595.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,864.22 / $4,830.00 / $8,308.07	Facility		$3,864.22	$4,830.00	$8,308.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $4,637.06 / $8,445.76	Facility		$2,803.00	$4,637.06	$8,445.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,981.81 / $11,199.34 / $32,225.84	Professional		$4,981.81	$11,199.34	$32,225.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $415.41 / $2,926.10 / $9,428.20	Professional		$415.41	$2,926.10	$9,428.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,864.22 / $4,830.00 / $8,308.07	Facility		$3,864.22	$4,830.00	$8,308.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,127.95 / $14,043.00 / $18,517.09	Professional		$9,127.95	$14,043.00	$18,517.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $84,546.56 / $84,546.56 / $84,546.56	Facility		$84,546.56	$84,546.56	$84,546.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,221.34 / $20,884.09 / $32,424.56	Professional		$8,221.34	$20,884.09	$32,424.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,714.28 / $14,714.28 / $14,714.28	Professional		$14,714.28	$14,714.28	$14,714.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,118.13 / $24,504.05 / $24,504.05	Professional		$7,118.13	$24,504.05	$24,504.05
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 $5,012.18 / $11,681.47 / $21,107.98	Professional		$5,012.18	$11,681.47	$21,107.98