Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,854.79 / $3,004.63 / $14,482.00	Facility		$1,854.79	$3,004.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.18 / $1,854.79 / $5,269.23	Professional		$1,024.18	$1,854.79	$5,269.23
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 $1,462.76 / $3,599.62 / $8,956.14	Professional		$1,462.76	$3,599.62	$8,956.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,747.76 / $4,379.55 / $7,064.06	Facility		$3,747.76	$4,379.55	$7,064.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,537.25 / $4,518.47 / $6,025.43	Professional		$2,537.25	$4,518.47	$6,025.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,468.93 / $2,316.92 / $3,578.19	Facility		$1,468.93	$2,316.92	$3,578.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,682.57 / $3,220.83 / $7,700.00	Facility		$1,682.57	$3,220.83	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,791.24 / $4,414.47 / $8,590.29	Professional		$1,791.24	$4,414.47	$8,590.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,020.59 / $3,273.09	Professional		$94.67	$1,020.59	$3,273.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,468.93 / $2,316.92 / $3,578.19	Facility		$1,468.93	$2,316.92	$3,578.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,994.55 / $4,624.05 / $6,074.87	Professional		$2,994.55	$4,624.05	$6,074.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,008.30 / $37,008.30 / $37,008.30	Facility		$37,008.30	$37,008.30	$37,008.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,593.76 / $7,284.60 / $18,154.00	Professional		$2,593.76	$7,284.60	$18,154.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,622.07 / $7,622.07 / $7,622.07	Professional		$7,622.07	$7,622.07	$7,622.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,822.51 / $10,125.16 / $10,125.16	Professional		$6,822.51	$10,125.16	$10,125.16
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 $1,756.20 / $4,414.47 / $7,176.66	Professional		$1,756.20	$4,414.47	$7,176.66