Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,107.23 / $3,417.73 / $14,482.00	Facility		$2,107.23	$3,417.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.46 / $2,107.23 / $5,873.57	Professional		$1,154.46	$2,107.23	$5,873.57
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 $1,663.86 / $4,100.09 / $10,187.12	Professional		$1,663.86	$4,100.09	$10,187.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,271.31 / $4,991.35 / $8,050.89	Facility		$4,271.31	$4,991.35	$8,050.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,886.08 / $5,149.84 / $6,901.78	Professional		$2,886.08	$5,149.84	$6,901.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,670.89 / $2,351.86 / $3,694.26	Facility		$1,670.89	$2,351.86	$3,694.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,922.22 / $3,265.83 / $7,700.00	Facility		$1,922.22	$3,265.83	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,997.34 / $5,021.38 / $9,771.29	Professional		$1,997.34	$5,021.38	$9,771.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,178.54 / $3,728.80	Professional		$112.28	$1,178.54	$3,728.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,670.89 / $2,351.86 / $3,694.26	Facility		$1,670.89	$2,351.86	$3,694.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,424.85 / $5,288.50 / $6,923.71	Professional		$3,424.85	$5,288.50	$6,923.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52,409.76 / $52,409.76 / $52,409.76	Facility		$52,409.76	$52,409.76	$52,409.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,956.19 / $8,286.10 / $15,690.14	Professional		$2,956.19	$8,286.10	$15,690.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,669.67 / $8,669.67 / $8,669.67	Professional		$8,669.67	$8,669.67	$8,669.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,760.52 / $11,539.89 / $11,539.89	Professional		$7,760.52	$11,539.89	$11,539.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,806.73 / $5,052.97 / $8,135.93	Professional		$1,806.73	$5,052.97	$8,135.93