Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,514.62 / $5,606.39 / $14,482.00	Facility		$2,514.62	$5,606.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,514.62 / $2,988.75 / $10,589.00	Professional		$2,514.62	$2,988.75	$10,589.00
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 $2,660.98 / $6,158.25 / $15,527.23	Professional		$2,660.98	$6,158.25	$15,527.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,017.92 / $8,201.00 / $12,580.54	Facility		$7,017.92	$8,201.00	$12,580.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,192.89 / $10,549.43 / $11,987.99	Professional		$4,192.89	$10,549.43	$11,987.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,514.62 / $3,520.47 / $5,606.39	Facility		$2,514.62	$3,520.47	$5,606.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,514.62 / $3,746.78 / $6,754.98	Facility		$2,514.62	$3,746.78	$6,754.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,103.34 / $5,505.36 / $20,873.84	Professional		$3,103.34	$5,505.36	$20,873.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $1,838.44 / $5,928.18	Professional		$277.11	$1,838.44	$5,928.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,514.62 / $3,368.15 / $5,606.39	Facility		$2,514.62	$3,368.15	$5,606.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,871.45 / $7,154.14 / $10,679.72	Professional		$5,871.45	$7,154.14	$10,679.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47,606.44 / $47,606.44 / $47,606.44	Facility		$47,606.44	$47,606.44	$47,606.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,299.96 / $13,264.45 / $20,873.84	Professional		$5,299.96	$13,264.45	$20,873.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,475.39 / $9,475.39 / $9,475.39	Professional		$9,475.39	$9,475.39	$9,475.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,100.67 / $15,396.99 / $15,796.78	Professional		$9,100.67	$15,396.99	$15,796.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,103.34 / $5,315.92 / $11,938.01	Professional		$3,103.34	$5,315.92	$11,938.01