Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,835.62 / $2,978.55 / $14,482.00	Facility		$1,835.62	$2,978.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.25 / $1,835.62 / $5,184.37	Professional		$1,007.25	$1,835.62	$5,184.37
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 $1,439.48 / $3,569.88 / $8,871.29	Professional		$1,439.48	$3,569.88	$8,871.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,722.53 / $4,350.07 / $7,016.50	Facility		$3,722.53	$4,350.07	$7,016.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,515.21 / $4,486.67 / $6,047.09	Professional		$2,515.21	$4,486.67	$6,047.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,456.18 / $2,294.50 / $3,454.00	Facility		$1,456.18	$2,294.50	$3,454.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,674.79 / $3,153.84 / $7,700.00	Facility		$1,674.79	$3,153.84	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,762.39 / $4,411.62 / $8,503.15	Professional		$1,762.39	$4,411.62	$8,503.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,041.32 / $3,210.31	Professional		$85.00	$1,041.32	$3,210.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,456.18 / $2,294.50 / $3,454.00	Facility		$1,456.18	$2,294.50	$3,454.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,984.15 / $4,607.99 / $6,032.11	Professional		$2,984.15	$4,607.99	$6,032.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,642.48 / $45,642.48 / $45,642.48	Facility		$45,642.48	$45,642.48	$45,642.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,575.51 / $7,210.70 / $17,046.00	Professional		$2,575.51	$7,210.70	$17,046.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,549.86 / $7,549.86 / $7,549.86	Professional		$7,549.86	$7,549.86	$7,549.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,763.29 / $10,053.91 / $10,053.91	Professional		$6,763.29	$10,053.91	$10,053.91
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 $1,762.39 / $4,411.62 / $6,417.52	Professional		$1,762.39	$4,411.62	$6,417.52