Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,977.43 / $3,205.15 / $14,482.00	Facility		$1,977.43	$3,205.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.91 / $1,977.43 / $5,629.57	Professional		$1,092.91	$1,977.43	$5,629.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,559.11 / $3,541.67 / $9,269.01	Professional		$1,559.11	$3,541.67	$9,269.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,997.37 / $4,671.24 / $7,534.55	Facility		$3,997.37	$4,671.24	$7,534.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,706.56 / $4,818.47 / $6,429.72	Professional		$2,706.56	$4,818.47	$6,429.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,566.96 / $2,469.78 / $3,454.00	Facility		$1,566.96	$2,469.78	$3,454.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,794.38 / $3,364.00 / $7,700.00	Facility		$1,794.38	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,913.74 / $4,803.88 / $9,157.45	Professional		$1,913.74	$4,803.88	$9,157.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,127.24 / $3,499.62	Professional		$94.67	$1,127.24	$3,499.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,566.96 / $2,469.78 / $3,454.00	Facility		$1,566.96	$2,469.78	$3,454.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,193.45 / $4,931.18 / $6,478.22	Professional		$3,193.45	$4,931.18	$6,478.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,453.12 / $39,453.12 / $39,453.12	Facility		$39,453.12	$39,453.12	$39,453.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,765.98 / $7,765.55 / $18,750.00	Professional		$2,765.98	$7,765.55	$18,750.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,124.20 / $8,124.20 / $8,124.20	Professional		$8,124.20	$8,124.20	$8,124.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,277.82 / $10,797.43 / $10,797.43	Professional		$7,277.82	$10,797.43	$10,797.43
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 $1,871.92 / $4,803.88 / $7,654.95	Professional		$1,871.92	$4,803.88	$7,654.95