Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,531.73 / $4,096.80 / $14,482.00	Facility		$2,531.73	$4,096.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.25 / $2,531.73 / $7,172.32	Professional		$1,393.25	$2,531.73	$7,172.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,004.17 / $4,938.68 / $12,255.01	Professional		$2,004.17	$4,938.68	$12,255.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,112.05 / $5,973.84 / $9,635.59	Facility		$5,112.05	$5,973.84	$9,635.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,459.52 / $6,178.26 / $8,196.49	Professional		$3,459.52	$6,178.26	$8,196.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,002.88 / $3,172.15 / $4,446.84	Facility		$2,002.88	$3,172.15	$4,446.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $3,583.00 / $7,700.00	Facility		$2,203.00	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,427.71 / $6,062.79 / $11,797.82	Professional		$2,427.71	$6,062.79	$11,797.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,424.54 / $4,459.52	Professional		$138.70	$1,424.54	$4,459.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,002.88 / $3,172.15 / $4,446.84	Facility		$2,002.88	$3,172.15	$4,446.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,117.75 / $6,358.44 / $8,306.37	Professional		$4,117.75	$6,358.44	$8,306.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50,894.76 / $50,894.76 / $50,894.76	Facility		$50,894.76	$50,894.76	$50,894.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,546.54 / $10,004.60 / $20,881.00	Professional		$3,546.54	$10,004.60	$20,881.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,429.53 / $10,429.53 / $10,429.53	Professional		$10,429.53	$10,429.53	$10,429.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,302.46 / $13,844.42 / $13,844.42	Professional		$9,302.46	$13,844.42	$13,844.42
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 $2,427.71 / $6,629.93 / $9,824.35	Professional		$2,427.71	$6,629.93	$9,824.35