Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.21 / $3,414.98 / $14,482.00	Facility		$2,105.21	$3,414.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.27 / $2,105.21 / $6,151.84	Professional		$1,167.27	$2,105.21	$6,151.84
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 $1,661.90 / $4,094.18 / $10,175.18	Professional		$1,661.90	$4,094.18	$10,175.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,267.70 / $4,987.14 / $8,044.10	Facility		$4,267.70	$4,987.14	$8,044.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,883.77 / $5,144.97 / $6,890.54	Professional		$2,883.77	$5,144.97	$6,890.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,669.55 / $2,632.15 / $4,602.93	Facility		$1,669.55	$2,632.15	$4,602.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,920.68 / $3,364.00 / $7,700.00	Facility		$1,920.68	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,054.61 / $5,014.07 / $9,757.09	Professional		$2,054.61	$5,014.07	$9,757.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,150.61 / $3,728.80	Professional		$112.28	$1,150.61	$3,728.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,669.55 / $2,632.15 / $4,602.93	Facility		$1,669.55	$2,632.15	$4,602.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,422.25 / $5,284.48 / $6,917.17	Professional		$3,422.25	$5,284.48	$6,917.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52,353.08 / $52,353.08 / $52,353.08	Facility		$52,353.08	$52,353.08	$52,353.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,953.39 / $8,274.04 / $23,352.00	Professional		$2,953.39	$8,274.04	$23,352.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,659.53 / $8,659.53 / $8,659.53	Professional		$8,659.53	$8,659.53	$8,659.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,754.29 / $11,528.96 / $11,528.96	Professional		$7,754.29	$11,528.96	$11,528.96
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 $1,994.11 / $5,014.07 / $8,124.69	Professional		$1,994.11	$5,014.07	$8,124.69