Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.22 / $3,034.55 / $14,482.00	Facility		$1,869.22	$3,034.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.77 / $1,869.22 / $5,269.48	Professional		$1,024.77	$1,869.22	$5,269.48
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 $1,469.28 / $3,631.89 / $9,026.61	Professional		$1,469.28	$3,631.89	$9,026.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,794.62 / $4,434.31 / $7,152.38	Facility		$3,794.62	$4,434.31	$7,152.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,562.52 / $4,570.41 / $6,167.86	Professional		$2,562.52	$4,570.41	$6,167.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,483.56 / $2,335.63 / $3,768.00	Facility		$1,483.56	$2,335.63	$3,768.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,705.16 / $3,240.07 / $7,700.00	Facility		$1,705.16	$3,240.07	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,791.32 / $4,484.18 / $8,648.54	Professional		$1,791.32	$4,484.18	$8,648.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,046.27 / $3,342.34	Professional		$85.00	$1,046.27	$3,342.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,483.56 / $2,335.63 / $3,768.00	Facility		$1,483.56	$2,335.63	$3,768.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,038.10 / $4,691.29 / $6,144.69	Professional		$3,038.10	$4,691.29	$6,144.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,534.98 / $37,534.98 / $37,534.98	Facility		$37,534.98	$37,534.98	$37,534.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,623.58 / $7,334.00 / $21,927.30	Professional		$2,623.58	$7,334.00	$21,927.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,682.02 / $7,682.02 / $7,682.02	Professional		$7,682.02	$7,682.02	$7,682.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,968.62 / $10,241.58 / $10,241.58	Professional		$5,968.62	$10,241.58	$10,241.58
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 $1,766.62 / $4,816.03 / $8,247.12	Professional		$1,766.62	$4,816.03	$8,247.12