Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,979.07 / $3,211.40 / $14,482.00	Facility		$1,979.07	$3,211.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.72 / $1,979.07 / $5,566.95	Professional		$1,084.72	$1,979.07	$5,566.95
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 $1,558.29 / $3,847.57 / $9,561.82	Professional		$1,558.29	$3,847.57	$9,561.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,015.39 / $4,692.30 / $7,568.52	Facility		$4,015.39	$4,692.30	$7,568.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,711.86 / $4,838.91 / $6,531.67	Professional		$2,711.86	$4,838.91	$6,531.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,570.02 / $2,473.61 / $4,515.00	Facility		$1,570.02	$2,473.61	$4,515.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,805.13 / $3,364.00 / $8,582.95	Facility		$1,805.13	$3,364.00	$8,582.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,892.45 / $4,760.82 / $9,165.23	Professional		$1,892.45	$4,760.82	$9,165.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,123.12 / $3,500.60	Professional		$112.28	$1,123.12	$3,500.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,570.02 / $2,473.61 / $4,515.00	Facility		$1,570.02	$2,473.61	$4,515.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,216.20 / $4,966.31 / $6,505.68	Professional		$3,216.20	$4,966.31	$6,505.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,764.33 / $39,764.33 / $39,764.33	Facility		$39,764.33	$39,764.33	$39,764.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,777.71 / $7,772.15 / $19,176.00	Professional		$2,777.71	$7,772.15	$19,176.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,137.49 / $8,137.49 / $8,137.49	Professional		$8,137.49	$8,137.49	$8,137.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,292.02 / $10,843.20 / $10,843.20	Professional		$7,292.02	$10,843.20	$10,843.20
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 $1,872.66 / $4,760.82 / $7,632.02	Professional		$1,872.66	$4,760.82	$7,632.02