Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,979.52 / $3,212.84 / $14,482.00	Facility		$1,979.52	$3,212.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.99 / $1,979.52 / $5,522.01	Professional		$1,096.99	$1,979.52	$5,522.01
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 $1,554.78 / $3,848.47 / $9,566.10	Professional		$1,554.78	$3,848.47	$9,566.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,016.29 / $4,693.35 / $7,570.21	Facility		$4,016.29	$4,693.35	$7,570.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,713.06 / $4,840.03 / $6,445.55	Professional		$2,713.06	$4,840.03	$6,445.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,570.72 / $2,474.17 / $3,830.80	Facility		$1,570.72	$2,474.17	$3,830.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,805.87 / $3,364.00 / $7,700.00	Facility		$1,805.87	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,877.17 / $4,712.07 / $9,169.42	Professional		$1,877.17	$4,712.07	$9,169.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,123.12 / $3,500.60	Professional		$112.28	$1,123.12	$3,500.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,570.72 / $2,474.17 / $3,830.80	Facility		$1,570.72	$2,474.17	$3,830.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,217.50 / $4,968.32 / $6,507.19	Professional		$3,217.50	$4,968.32	$6,507.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $49,242.70 / $49,242.70 / $49,242.70	Facility		$49,242.70	$49,242.70	$49,242.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,778.34 / $7,775.70 / $19,432.00	Professional		$2,778.34	$7,775.70	$19,432.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,141.18 / $8,141.18 / $8,141.18	Professional		$8,141.18	$8,141.18	$8,141.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,110.73 / $10,845.69 / $10,845.69	Professional		$6,110.73	$10,845.69	$10,845.69
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 $1,873.49 / $4,712.07 / $7,636.08	Professional		$1,873.49	$4,712.07	$7,636.08