Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.82 / $2,939.38 / $14,482.00	Facility		$1,809.82	$2,939.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.90 / $1,809.82 / $5,101.93	Professional		$999.90	$1,809.82	$5,101.93
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 $1,413.63 / $3,516.43 / $8,741.48	Professional		$1,413.63	$3,516.43	$8,741.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,675.67 / $4,295.31 / $6,928.18	Facility		$3,675.67	$4,295.31	$6,928.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,482.14 / $4,427.06 / $5,900.26	Professional		$2,482.14	$4,427.06	$5,900.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,437.03 / $2,261.03 / $3,454.00	Facility		$1,437.03	$2,261.03	$3,454.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,651.20 / $3,075.88 / $7,700.00	Facility		$1,651.20	$3,075.88	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,709.57 / $4,301.54 / $8,370.54	Professional		$1,709.57	$4,301.54	$8,370.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,016.61 / $3,197.08	Professional		$85.00	$1,016.61	$3,197.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,437.03 / $2,261.03 / $3,454.00	Facility		$1,437.03	$2,261.03	$3,454.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,941.90 / $4,542.75 / $5,951.96	Professional		$2,941.90	$4,542.75	$5,951.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36,357.51 / $36,357.51 / $36,357.51	Facility		$36,357.51	$36,357.51	$36,357.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,541.29 / $7,098.25 / $18,750.00	Professional		$2,541.29	$7,098.25	$18,750.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,439.34 / $7,439.34 / $7,439.34	Professional		$7,439.34	$7,439.34	$7,439.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,968.62 / $9,920.29 / $9,920.29	Professional		$5,968.62	$9,920.29	$9,920.29
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 $1,709.57 / $4,349.26 / $7,265.66	Professional		$1,709.57	$4,349.26	$7,265.66