Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,931.74 / $3,130.65 / $14,482.00	Facility		$1,931.74	$3,130.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.10 / $1,931.74 / $5,491.73	Professional		$1,069.10	$1,931.74	$5,491.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,529.31 / $3,750.86 / $9,330.10	Professional		$1,529.31	$3,750.86	$9,330.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,904.55 / $4,562.78 / $7,359.60	Facility		$3,904.55	$4,562.78	$7,359.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.67 / $4,707.47 / $6,280.09	Professional		$2,643.67	$4,707.47	$6,280.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,530.54 / $2,141.03 / $3,035.33	Facility		$1,530.54	$2,141.03	$3,035.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $3,035.33 / $7,868.00	Facility		$1,716.00	$3,035.33	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,829.88 / $4,600.63 / $8,572.98	Professional		$1,829.88	$4,600.63	$8,572.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,068.82 / $3,349.11	Professional		$94.67	$1,068.82	$3,349.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,530.54 / $2,141.03 / $3,035.33	Facility		$1,530.54	$2,141.03	$3,035.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,120.00 / $4,817.76 / $6,328.97	Professional		$3,120.00	$4,817.76	$6,328.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,369.12 / $29,369.12 / $29,369.12	Facility		$29,369.12	$29,369.12	$29,369.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,702.25 / $7,591.80 / $14,627.60	Professional		$2,702.25	$7,591.80	$14,627.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,940.33 / $7,940.33 / $7,940.33	Professional		$7,940.33	$7,940.33	$7,940.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,831.74 / $10,548.61 / $10,548.61	Professional		$4,831.74	$10,548.61	$10,548.61
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 $1,829.88 / $4,649.31 / $7,486.05	Professional		$1,829.88	$4,649.31	$7,486.05