Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,963.27 / $3,324.62 / $14,482.00	Facility		$1,963.27	$3,324.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.43 / $1,963.27 / $5,744.12	Professional		$1,294.43	$1,963.27	$5,744.12
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 $1,608.24 / $4,494.45 / $9,695.41	Professional		$1,608.24	$4,494.45	$9,695.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,158.67 / $4,859.72 / $7,838.58	Facility		$4,158.67	$4,859.72	$7,838.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,807.46 / $4,960.07 / $6,638.66	Professional		$2,807.46	$4,960.07	$6,638.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,625.37 / $2,100.00 / $3,176.86	Facility		$1,625.37	$2,100.00	$3,176.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $2,803.00 / $7,700.00	Facility		$1,716.00	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,721.00 / $5,000.33 / $11,466.58	Professional		$1,721.00	$5,000.33	$11,466.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $1,064.36 / $3,378.98	Professional		$141.41	$1,064.36	$3,378.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,625.37 / $2,100.00 / $3,176.86	Facility		$1,625.37	$2,100.00	$3,176.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,328.65 / $5,124.02 / $6,549.43	Professional		$3,328.65	$5,124.02	$6,549.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,490.14 / $25,490.14 / $25,490.14	Facility		$25,490.14	$25,490.14	$25,490.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,876.51 / $8,079.15 / $12,296.88	Professional		$2,876.51	$8,079.15	$12,296.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,969.97 / $3,969.97 / $3,969.97	Professional		$3,969.97	$3,969.97	$3,969.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,779.91 / $9,680.06 / $9,680.06	Professional		$3,779.91	$9,680.06	$9,680.06
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 $1,713.80 / $4,884.06 / $7,222.76	Professional		$1,713.80	$4,884.06	$7,222.76