Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,038.50 / $3,307.54 / $14,482.00	Facility		$2,038.50	$3,307.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.30 / $2,038.50 / $5,727.64	Professional		$1,130.30	$2,038.50	$5,727.64
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 $1,601.92 / $3,965.02 / $9,852.66	Professional		$1,601.92	$3,965.02	$9,852.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,135.24 / $4,832.35 / $7,794.42	Facility		$4,135.24	$4,832.35	$7,794.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,793.03 / $4,984.10 / $6,635.46	Professional		$2,793.03	$4,984.10	$6,635.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,617.02 / $2,548.27 / $3,830.80	Facility		$1,617.02	$2,548.27	$3,830.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,859.20 / $3,364.00 / $7,700.00	Facility		$1,859.20	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,947.07 / $4,853.54 / $9,444.70	Professional		$1,947.07	$4,853.54	$9,444.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,127.24 / $3,578.75	Professional		$112.28	$1,127.24	$3,578.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,617.02 / $2,548.27 / $3,830.80	Facility		$1,617.02	$2,548.27	$3,830.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,312.40 / $5,114.85 / $6,700.90	Professional		$3,312.40	$5,114.85	$6,700.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50,716.12 / $50,716.12 / $50,716.12	Facility		$50,716.12	$50,716.12	$50,716.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,861.06 / $8,009.15 / $19,432.00	Professional		$2,861.06	$8,009.15	$19,432.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,385.00 / $8,385.00 / $8,385.00	Professional		$8,385.00	$8,385.00	$8,385.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,510.33 / $11,168.55 / $11,168.55	Professional		$7,510.33	$11,168.55	$11,168.55
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 $1,929.96 / $4,885.37 / $7,866.98	Professional		$1,929.96	$4,885.37	$7,866.98