Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.59 / $3,286.82 / $14,482.00	Facility		$2,030.59	$3,286.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.59 / $2,030.59 / $5,857.85	Professional		$1,117.59	$2,030.59	$5,857.85
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 $1,607.04 / $3,961.04 / $9,828.12	Professional		$1,607.04	$3,961.04	$9,828.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,101.89 / $4,793.39 / $7,731.57	Facility		$4,101.89	$4,793.39	$7,731.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,775.55 / $4,955.14 / $6,577.91	Professional		$2,775.55	$4,955.14	$6,577.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,606.89 / $2,249.86 / $3,179.59	Facility		$1,606.89	$2,249.86	$3,179.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,752.97 / $3,179.59 / $7,868.00	Facility		$1,752.97	$3,179.59	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,936.37 / $4,975.27 / $9,024.62	Professional		$1,936.37	$4,975.27	$9,024.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,136.99 / $3,566.36	Professional		$112.28	$1,136.99	$3,566.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,606.89 / $2,249.86 / $3,179.59	Facility		$1,606.89	$2,249.86	$3,179.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,302.65 / $5,099.80 / $6,661.96	Professional		$3,302.65	$5,099.80	$6,661.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,799.22 / $40,799.22 / $40,799.22	Facility		$40,799.22	$40,799.22	$40,799.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,844.44 / $8,022.30 / $15,161.85	Professional		$2,844.44	$8,022.30	$15,161.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,364.16 / $8,364.16 / $8,364.16	Professional		$8,364.16	$8,364.16	$8,364.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,463.28 / $11,103.71 / $11,103.71	Professional		$7,463.28	$11,103.71	$11,103.71
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 $1,936.37 / $4,975.27 / $7,880.43	Professional		$1,936.37	$4,975.27	$7,880.43