Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,887.17 / $4,668.14 / $14,482.00	Facility		$2,887.17	$4,668.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,587.47 / $2,887.17 / $8,172.16	Professional		$1,587.47	$2,887.17	$8,172.16
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 $2,274.41 / $5,632.21 / $13,975.54	Professional		$2,274.41	$5,632.21	$13,975.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,823.94 / $6,805.73 / $10,977.41	Facility		$5,823.94	$6,805.73	$10,977.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,941.99 / $7,041.12 / $9,335.96	Professional		$3,941.99	$7,041.12	$9,335.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,282.19 / $3,618.68 / $4,460.67	Facility		$2,282.19	$3,618.68	$4,460.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,331.17 / $3,618.68 / $7,700.00	Facility		$2,331.17	$3,618.68	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,756.34 / $6,916.25 / $13,458.61	Professional		$2,756.34	$6,916.25	$13,458.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,613.68 / $5,074.78	Professional		$138.70	$1,613.68	$5,074.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,282.19 / $3,618.68 / $4,460.67	Facility		$2,282.19	$3,618.68	$4,460.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,693.64 / $7,247.72 / $9,466.44	Professional		$4,693.64	$7,247.72	$9,466.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58,020.27 / $58,020.27 / $58,020.27	Facility		$58,020.27	$58,020.27	$58,020.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,041.86 / $11,412.95 / $23,012.00	Professional		$4,041.86	$11,412.95	$23,012.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,893.75 / $11,893.75 / $11,893.75	Professional		$11,893.75	$11,893.75	$11,893.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,684.40 / $15,777.98 / $15,777.98	Professional		$5,684.40	$15,777.98	$15,777.98
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 $2,739.11 / $6,968.27 / $11,682.11	Professional		$2,739.11	$6,968.27	$11,682.11