Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,009.47 / $3,408.93 / $14,482.00	Facility		$2,009.47	$3,408.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.67 / $2,009.47 / $5,895.84	Professional		$1,314.67	$2,009.47	$5,895.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.06 / $4,613.74 / $9,924.75	Professional		$1,659.06	$4,613.74	$9,924.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,259.59 / $4,977.67 / $8,028.81	Facility		$4,259.59	$4,977.67	$8,028.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,257.46 / $5,086.00 / $6,834.01	Professional		$2,257.46	$5,086.00	$6,834.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,666.59 / $2,351.08 / $3,257.42	Facility		$1,666.59	$2,351.08	$3,257.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,818.10 / $2,803.00 / $7,700.00	Facility		$1,818.10	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,994.12 / $5,468.17 / $11,737.87	Professional		$1,994.12	$5,468.17	$11,737.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $1,103.85 / $3,560.56	Professional		$141.41	$1,103.85	$3,560.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,666.59 / $2,351.08 / $3,257.42	Facility		$1,666.59	$2,351.08	$3,257.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,418.35 / $5,263.53 / $6,727.15	Professional		$3,418.35	$5,263.53	$6,727.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,227.24 / $38,227.24 / $38,227.24	Facility		$38,227.24	$38,227.24	$38,227.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,313.06 / $8,270.29 / $12,619.68	Professional		$2,313.06	$8,270.29	$12,619.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.61 / $4,073.61 / $4,073.61	Professional		$4,073.61	$4,073.61	$4,073.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,874.11 / $9,925.83 / $9,925.83	Professional		$3,874.11	$9,925.83	$9,925.83
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 $1,994.12 / $5,032.59 / $7,393.65	Professional		$1,994.12	$5,032.59	$7,393.65