Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.26 / $3,204.58 / $14,482.00	Facility		$1,978.26	$3,204.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.96 / $1,978.26 / $5,595.44	Professional		$1,092.96	$1,978.26	$5,595.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,562.75 / $3,839.27 / $9,552.25	Professional		$1,562.75	$3,839.27	$9,552.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,996.47 / $4,670.18 / $7,532.85	Facility		$3,996.47	$4,670.18	$7,532.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,706.09 / $4,819.05 / $6,426.84	Professional		$2,706.09	$4,819.05	$6,426.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,566.69 / $2,471.09 / $4,462.50	Facility		$1,566.69	$2,471.09	$4,462.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,794.39 / $3,364.00 / $7,700.00	Facility		$1,794.39	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,902.13 / $4,733.16 / $9,161.34	Professional		$1,902.13	$4,733.16	$9,161.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,101.26 / $3,494.37	Professional		$94.67	$1,101.26	$3,494.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,566.69 / $2,471.09 / $4,462.50	Facility		$1,566.69	$2,471.09	$4,462.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,193.45 / $4,931.18 / $6,478.98	Professional		$3,193.45	$4,931.18	$6,478.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,465.51 / $39,465.51 / $39,465.51	Facility		$39,465.51	$39,465.51	$39,465.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,766.30 / $7,768.85 / $18,601.00	Professional		$2,766.30	$7,768.85	$18,601.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,129.35 / $8,129.35 / $8,129.35	Professional		$8,129.35	$8,129.35	$8,129.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,276.54 / $10,798.64 / $10,798.64	Professional		$7,276.54	$10,798.64	$10,798.64
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 $1,902.13 / $5,522.68 / $8,766.86	Professional		$1,902.13	$5,522.68	$8,766.86