Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.58 / $2,923.09 / $14,482.00	Facility		$1,727.58	$2,923.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.27 / $1,727.58 / $5,096.83	Professional		$1,033.27	$1,727.58	$5,096.83
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 $1,289.64 / $3,664.77 / $8,309.50	Professional		$1,289.64	$3,664.77	$8,309.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,687.38 / $4,309.00 / $6,950.26	Facility		$3,687.38	$4,309.00	$6,950.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,935.74 / $4,365.59 / $5,878.44	Professional		$1,935.74	$4,365.59	$5,878.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,429.07 / $2,021.27 / $2,855.24	Facility		$1,429.07	$2,021.27	$2,855.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,587.44 / $2,803.00 / $7,700.00	Facility		$1,587.44	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,555.07 / $4,255.91 / $9,151.23	Professional		$1,555.07	$4,255.91	$9,151.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $909.09 / $2,859.73	Professional		$95.64	$909.09	$2,859.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,558.98 / $2,021.27 / $2,855.24	Facility		$1,558.98	$2,021.27	$2,855.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,808.00 / $4,320.00 / $5,235.78	Professional		$2,808.00	$4,320.00	$5,235.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,883.14 / $31,883.14 / $31,883.14	Facility		$31,883.14	$31,883.14	$31,883.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,985.42 / $6,447.80 / $10,672.24	Professional		$1,985.42	$6,447.80	$10,672.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,459.30 / $3,459.30 / $3,459.30	Professional		$3,459.30	$3,459.30	$3,459.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,284.17 / $8,519.87 / $8,519.87	Professional		$3,284.17	$8,519.87	$8,519.87
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 $1,547.47 / $3,925.25 / $5,881.61	Professional		$1,547.47	$3,925.25	$5,881.61