Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,311.64 / $3,920.63 / $14,482.00	Facility		$2,311.64	$3,920.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.76 / $2,311.64 / $6,794.12	Professional		$1,548.76	$2,311.64	$6,794.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,910.72 / $5,316.49 / $11,428.68	Professional		$1,910.72	$5,316.49	$11,428.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,900.29 / $5,726.38 / $9,236.44	Facility		$4,900.29	$5,726.38	$9,236.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,310.76 / $5,851.46 / $7,819.79	Professional		$3,310.76	$5,851.46	$7,819.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,916.75 / $2,675.01 / $3,746.38	Facility		$1,916.75	$2,675.01	$3,746.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,091.00 / $3,364.00 / $7,700.00	Facility		$2,091.00	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,296.51 / $5,878.25 / $11,077.13	Professional		$2,296.51	$5,878.25	$11,077.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $1,271.12 / $4,085.92	Professional		$186.38	$1,271.12	$4,085.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,916.75 / $2,675.01 / $3,746.38	Facility		$1,916.75	$2,675.01	$3,746.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,931.85 / $6,066.27 / $7,753.56	Professional		$3,931.85	$6,066.27	$7,753.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,048.16 / $37,048.16 / $37,048.16	Facility		$37,048.16	$37,048.16	$37,048.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,393.45 / $9,523.54 / $17,586.62	Professional		$3,393.45	$9,523.54	$17,586.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,686.26 / $4,686.26 / $4,686.26	Professional		$4,686.26	$4,686.26	$4,686.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,514.08 / $11,419.72 / $11,419.72	Professional		$2,514.08	$11,419.72	$11,419.72
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 $2,296.51 / $5,222.32 / $8,687.27	Professional		$2,296.51	$5,222.32	$8,687.27