Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,571.82 / $5,735.83 / $14,482.00	Facility		$2,571.82	$5,735.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.82 / $3,056.85 / $10,222.50	Professional		$2,571.82	$3,056.85	$10,222.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $22,519.00	Facility		$11,499.00	$16,241.00	$22,519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,738.05 / $6,298.33 / $15,876.86	Professional		$2,738.05	$6,298.33	$15,876.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,180.12 / $8,390.54 / $12,871.31	Facility		$7,180.12	$8,390.54	$12,871.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,305.34 / $10,791.46 / $12,263.03	Professional		$4,305.34	$10,791.46	$12,263.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,571.82 / $3,784.00 / $5,775.00	Facility		$2,571.82	$3,784.00	$5,775.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,607.54 / $4,298.84 / $16,976.00	Facility		$2,607.54	$4,298.84	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,247.27 / $5,610.70 / $21,346.08	Professional		$3,247.27	$5,610.70	$21,346.08
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 $2,571.82 / $3,600.55 / $5,775.00	Facility		$2,571.82	$3,600.55	$5,775.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,002.75 / $7,314.12 / $10,918.54	Professional		$6,002.75	$7,314.12	$10,918.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,679.40 / $48,679.40 / $48,679.40	Facility		$48,679.40	$48,679.40	$48,679.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,421.56 / $13,559.55 / $21,346.08	Professional		$5,421.56	$13,559.55	$21,346.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,688.78 / $9,688.78 / $9,688.78	Professional		$9,688.78	$9,688.78	$9,688.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,816.05 / $15,748.34 / $16,159.23	Professional		$7,816.05	$15,748.34	$16,159.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,171.19 / $5,492.25 / $13,021.25	Professional		$3,171.19	$5,492.25	$13,021.25