Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,188.14 / $3,550.46 / $14,482.00	Facility		$2,188.14	$3,550.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.97 / $2,188.14 / $9,399.60	Professional		$1,202.97	$2,188.14	$9,399.60
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 $1,718.39 / $4,253.28 / $10,575.66	Professional		$1,718.39	$4,253.28	$10,575.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,438.92 / $5,187.22 / $8,366.81	Facility		$4,438.92	$5,187.22	$8,366.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,998.16 / $5,348.63 / $7,124.63	Professional		$2,998.16	$5,348.63	$7,124.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,735.78 / $2,734.51 / $3,937.50	Facility		$1,735.78	$2,734.51	$3,937.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.24 / $3,392.66 / $7,700.00	Facility		$1,995.24	$3,392.66	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,088.73 / $5,213.46 / $10,124.95	Professional		$2,088.73	$5,213.46	$10,124.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,230.59 / $3,825.57	Professional		$112.28	$1,230.59	$3,825.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,735.78 / $2,734.51 / $3,937.50	Facility		$1,735.78	$2,734.51	$3,937.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,554.85 / $5,489.24 / $7,190.98	Professional		$3,554.85	$5,489.24	$7,190.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54,400.58 / $54,400.58 / $54,400.58	Facility		$54,400.58	$54,400.58	$54,400.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,070.31 / $8,586.00 / $19,432.00	Professional		$3,070.31	$8,586.00	$19,432.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,000.35 / $9,000.35 / $9,000.35	Professional		$9,000.35	$9,000.35	$9,000.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,059.18 / $11,985.43 / $11,985.43	Professional		$8,059.18	$11,985.43	$11,985.43
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 $2,060.64 / $5,213.46 / $8,421.51	Professional		$2,060.64	$5,213.46	$8,421.51