Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,572.36 / $5,736.56 / $14,482.00	Facility		$2,572.36	$5,736.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,572.36 / $3,057.21 / $10,835.70	Professional		$2,572.36	$3,057.21	$10,835.70
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 $2,744.67 / $6,299.65 / $15,880.90	Professional		$2,744.67	$6,299.65	$15,880.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,181.03 / $8,391.60 / $12,872.92	Facility		$7,181.03	$8,391.60	$12,872.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,317.68 / $10,792.83 / $12,264.58	Professional		$4,317.68	$10,792.83	$12,264.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,572.36 / $3,601.30 / $5,736.56	Facility		$2,572.36	$3,601.30	$5,736.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,572.36 / $3,839.00 / $6,919.51	Facility		$2,572.36	$3,839.00	$6,919.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,255.13 / $5,590.92 / $21,348.72	Professional		$3,255.13	$5,590.92	$21,348.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $1,870.69 / $6,016.92	Professional		$277.11	$1,870.69	$6,016.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,572.36 / $3,443.50 / $5,736.56	Facility		$2,572.36	$3,443.50	$5,736.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,003.40 / $7,314.91 / $10,919.72	Professional		$6,003.40	$7,314.91	$10,919.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,684.86 / $48,684.86 / $48,684.86	Facility		$48,684.86	$48,684.86	$48,684.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,422.26 / $13,563.05 / $21,348.72	Professional		$5,422.26	$13,563.05	$21,348.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,691.24 / $9,691.24 / $9,691.24	Professional		$9,691.24	$9,691.24	$9,691.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,242.09 / $15,750.29 / $16,161.31	Professional		$9,242.09	$15,750.29	$16,161.31
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 $3,057.57 / $5,492.93 / $13,399.62	Professional		$3,057.57	$5,492.93	$13,399.62