Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,398.72 / $7,574.27 / $14,482.00	Facility		$3,398.72	$7,574.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,398.72 / $3,546.60 / $12,949.60	Professional		$3,398.72	$3,546.60	$12,949.60
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 $3,632.65 / $10,249.52 / $27,497.80	Professional		$3,632.65	$10,249.52	$27,497.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,474.37 / $11,071.56 / $17,858.03	Facility		$9,474.37	$11,071.56	$17,858.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,732.68 / $14,253.06 / $16,196.66	Professional		$6,732.68	$14,253.06	$16,196.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,398.72 / $4,787.72 / $7,237.63	Facility		$3,398.72	$4,787.72	$7,237.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $4,602.00 / $7,868.00	Facility		$2,803.00	$4,602.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,358.72 / $9,925.53 / $27,766.26	Professional		$4,358.72	$9,925.53	$27,766.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.70 / $2,532.93 / $8,110.41	Professional		$370.70	$2,532.93	$8,110.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,398.72 / $4,787.72 / $7,237.63	Facility		$3,398.72	$4,787.72	$7,237.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,943.00 / $12,220.00 / $16,201.57	Professional		$7,943.00	$12,220.00	$16,201.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73,577.28 / $73,577.28 / $73,577.28	Facility		$73,577.28	$73,577.28	$73,577.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,160.64 / $17,994.05 / $28,223.44	Professional		$7,160.64	$17,994.05	$28,223.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,808.61 / $12,808.61 / $12,808.61	Professional		$12,808.61	$12,808.61	$12,808.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,364.57 / $21,342.64 / $21,342.64	Professional		$12,364.57	$21,342.64	$21,342.64
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 $4,169.71 / $9,925.53 / $18,186.95	Professional		$4,169.71	$9,925.53	$18,186.95