Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.98 / $3,582.65 / $14,482.00	Facility		$2,216.98	$3,582.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.13 / $2,216.98 / $6,290.04	Professional		$1,220.13	$2,216.98	$6,290.04
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 $1,762.07 / $4,328.47 / $10,738.55	Professional		$1,762.07	$4,328.47	$10,738.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,470.46 / $5,224.08 / $8,426.26	Facility		$4,470.46	$5,224.08	$8,426.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,025.35 / $5,405.50 / $7,163.48	Professional		$3,025.35	$5,405.50	$7,163.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,751.52 / $2,779.01 / $3,937.09	Facility		$1,751.52	$2,779.01	$3,937.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,021.90 / $3,423.42 / $7,700.00	Facility		$2,021.90	$3,423.42	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,118.77 / $5,316.20 / $10,345.00	Professional		$2,118.77	$5,316.20	$10,345.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,236.92 / $3,844.42	Professional		$112.28	$1,236.92	$3,844.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,751.52 / $2,779.01 / $3,937.09	Facility		$1,751.52	$2,779.01	$3,937.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,602.95 / $5,563.51 / $7,267.43	Professional		$3,602.95	$5,563.51	$7,267.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55,148.86 / $55,148.86 / $55,148.86	Facility		$55,148.86	$55,148.86	$55,148.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,102.95 / $8,772.60 / $19,602.00	Professional		$3,102.95	$8,772.60	$19,602.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,138.96 / $9,138.96 / $9,138.96	Professional		$9,138.96	$9,138.96	$9,138.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,259.36 / $12,112.86 / $12,112.86	Professional		$8,259.36	$12,112.86	$12,112.86
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 $2,118.77 / $5,351.23 / $8,612.76	Professional		$2,118.77	$5,351.23	$8,612.76