Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,076.44 / $3,364.06 / $14,482.00	Facility		$2,076.44	$3,364.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,158.81 / $2,076.44 / $5,872.01	Professional		$1,158.81	$2,076.44	$5,872.01
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 $1,645.11 / $4,030.53 / $10,027.61	Professional		$1,645.11	$4,030.53	$10,027.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,195.60 / $4,902.91 / $7,908.22	Facility		$4,195.60	$4,902.91	$7,908.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,840.76 / $5,059.47 / $6,746.24	Professional		$2,840.76	$5,059.47	$6,746.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,644.65 / $2,594.00 / $3,652.23	Facility		$1,644.65	$2,594.00	$3,652.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,794.17 / $3,260.75 / $7,700.00	Facility		$1,794.17	$3,260.75	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,996.15 / $5,072.18 / $9,620.65	Professional		$1,996.15	$5,072.18	$9,620.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,154.74 / $3,656.89	Professional		$112.28	$1,154.74	$3,656.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,644.65 / $2,594.00 / $3,652.23	Facility		$1,644.65	$2,594.00	$3,652.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,352.70 / $5,177.08 / $6,802.23	Professional		$3,352.70	$5,177.08	$6,802.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,446.23 / $41,446.23 / $41,446.23	Facility		$41,446.23	$41,446.23	$41,446.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,904.31 / $8,158.35 / $21,307.00	Professional		$2,904.31	$8,158.35	$21,307.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,533.93 / $8,533.93 / $8,533.93	Professional		$8,533.93	$8,533.93	$8,533.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,638.67 / $11,337.45 / $11,337.45	Professional		$7,638.67	$11,337.45	$11,337.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,967.02 / $5,072.18 / $8,041.61	Professional		$1,967.02	$5,072.18	$8,041.61