Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.25 / $3,125.74 / $14,482.00	Facility		$1,928.25	$3,125.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.16 / $1,928.25 / $5,424.66	Professional		$1,057.16	$1,928.25	$5,424.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $14,839.00 / $22,440.00	Facility		$8,712.00	$14,839.00	$22,440.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,518.53 / $3,751.82 / $9,322.86	Professional		$1,518.53	$3,751.82	$9,322.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,907.26 / $4,565.93 / $7,364.70	Facility		$3,907.26	$4,565.93	$7,364.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,639.52 / $4,711.71 / $6,268.58	Professional		$2,639.52	$4,711.71	$6,268.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,528.14 / $2,411.46 / $3,360.00	Facility		$1,528.14	$2,411.46	$3,360.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,758.10 / $3,029.41 / $7,700.00	Facility		$1,758.10	$3,029.41	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,831.93 / $4,594.12 / $8,939.87	Professional		$1,831.93	$4,594.12	$8,939.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,073.77 / $3,410.07	Professional		$94.67	$1,073.77	$3,410.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,528.14 / $2,411.46 / $3,360.00	Facility		$1,528.14	$2,411.46	$3,360.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,132.35 / $4,836.83 / $6,334.66	Professional		$3,132.35	$4,836.83	$6,334.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,739.54 / $38,739.54 / $38,739.54	Facility		$38,739.54	$38,739.54	$38,739.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,704.69 / $7,581.05 / $12,165.34	Professional		$2,704.69	$7,581.05	$12,165.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,934.14 / $7,934.14 / $7,934.14	Professional		$7,934.14	$7,934.14	$7,934.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,547.52 / $10,558.19 / $10,558.19	Professional		$4,547.52	$10,558.19	$10,558.19
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 $1,827.54 / $4,622.25 / $7,407.52	Professional		$1,827.54	$4,622.25	$7,407.52