Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.45 / $3,394.89 / $14,482.00	Facility		$2,002.45	$3,394.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,328.88 / $2,002.45 / $5,902.80	Professional		$1,328.88	$2,002.45	$5,902.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.81 / $4,400.82 / $9,914.54	Professional		$1,653.81	$4,400.82	$9,914.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,238.87 / $4,953.45 / $7,989.74	Facility		$4,238.87	$4,953.45	$7,989.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,866.79 / $5,064.28 / $6,767.51	Professional		$2,866.79	$5,064.28	$6,767.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.72 / $2,315.33 / $3,244.01	Facility		$1,659.72	$2,315.33	$3,244.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,810.61 / $3,244.01 / $7,700.00	Facility		$1,810.61	$3,244.01	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,992.91 / $5,651.07 / $9,617.33	Professional		$1,992.91	$5,651.07	$9,617.33
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 $1,659.72 / $2,315.33 / $3,244.01	Facility		$1,659.72	$2,315.33	$3,244.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,406.65 / $5,260.39 / $6,731.76	Professional		$3,406.65	$5,260.39	$6,731.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,072.32 / $32,072.32 / $32,072.32	Facility		$32,072.32	$32,072.32	$32,072.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,936.95 / $8,261.79 / $12,573.68	Professional		$2,936.95	$8,261.79	$12,573.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,058.71 / $4,058.71 / $4,058.71	Professional		$4,058.71	$4,058.71	$4,058.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,872.21 / $9,883.45 / $9,883.45	Professional		$3,872.21	$9,883.45	$9,883.45
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 $1,992.91 / $5,037.64 / $7,386.05	Professional		$1,992.91	$5,037.64	$7,386.05