Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,914.07 / $3,100.99 / $14,482.00	Facility		$1,914.07	$3,100.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,057.16 / $1,914.07 / $5,439.09	Professional		$1,057.16	$1,914.07	$5,439.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $14,839.00 / $23,460.00	Facility		$8,712.00	$14,839.00	$23,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,512.89 / $3,715.70 / $9,243.46	Professional		$1,512.89	$3,715.70	$9,243.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,865.80 / $4,517.50 / $7,286.57	Facility		$3,865.80	$4,517.50	$7,286.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,618.62 / $4,662.56 / $6,218.23	Professional		$2,618.62	$4,662.56	$6,218.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,516.04 / $2,391.10 / $2,992.50	Facility		$1,516.04	$2,391.10	$2,992.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,736.96 / $2,963.17 / $7,700.00	Facility		$1,736.96	$2,963.17	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,844.22 / $4,556.70 / $8,867.06	Professional		$1,844.22	$4,556.70	$8,867.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,073.77 / $3,349.11	Professional		$94.67	$1,073.77	$3,349.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,516.04 / $2,391.10 / $2,992.50	Facility		$1,516.04	$2,391.10	$2,992.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,091.40 / $4,773.60 / $6,268.58	Professional		$3,091.40	$4,773.60	$6,268.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38,187.87 / $38,187.87 / $38,187.87	Facility		$38,187.87	$38,187.87	$38,187.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,676.48 / $7,519.30 / $11,434.40	Professional		$2,676.48	$7,519.30	$11,434.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,866.60 / $7,866.60 / $7,866.60	Professional		$7,866.60	$7,866.60	$7,866.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,041.33 / $10,448.03 / $10,448.03	Professional		$7,041.33	$10,448.03	$10,448.03
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 $1,812.92 / $4,603.60 / $7,409.18	Professional		$1,812.92	$4,603.60	$7,409.18