Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,143.73 / $3,471.39 / $14,482.00	Facility		$2,143.73	$3,471.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.43 / $2,143.73 / $6,071.07	Professional		$1,179.43	$2,143.73	$6,071.07
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 $1,691.92 / $4,179.14 / $10,373.49	Professional		$1,691.92	$4,179.14	$10,373.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,332.59 / $5,062.97 / $8,166.39	Facility		$4,332.59	$5,062.97	$8,166.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,931.40 / $5,232.49 / $6,949.10	Professional		$2,931.40	$5,232.49	$6,949.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,697.12 / $2,684.73 / $3,885.00	Facility		$1,697.12	$2,684.73	$3,885.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,956.36 / $3,364.00 / $7,700.00	Facility		$1,956.36	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,042.32 / $5,128.37 / $9,979.50	Professional		$2,042.32	$5,128.37	$9,979.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,231.78 / $3,813.18	Professional		$112.28	$1,231.78	$3,813.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,697.12 / $2,684.73 / $3,885.00	Facility		$1,697.12	$2,684.73	$3,885.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,485.95 / $5,382.84 / $7,034.83	Professional		$3,485.95	$5,382.84	$7,034.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,330.16 / $53,330.16 / $53,330.16	Facility		$53,330.16	$53,330.16	$53,330.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,003.64 / $8,462.65 / $21,307.00	Professional		$3,003.64	$8,462.65	$21,307.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,828.26 / $8,828.26 / $8,828.26	Professional		$8,828.26	$8,828.26	$8,828.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,258.07 / $11,725.15 / $11,725.15	Professional		$5,258.07	$11,725.15	$11,725.15
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 $1,899.03 / $5,403.42 / $7,995.84	Professional		$1,899.03	$5,403.42	$7,995.84