Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,418.41 / $3,913.40 / $14,482.00	Facility		$2,418.41	$3,913.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.98 / $2,418.41 / $7,140.94	Professional		$1,366.98	$2,418.41	$7,140.94
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 $1,919.31 / $4,715.10 / $11,704.23	Professional		$1,919.31	$4,715.10	$11,704.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,882.27 / $5,705.32 / $9,202.46	Facility		$4,882.27	$5,705.32	$9,202.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,304.65 / $5,899.53 / $7,831.05	Professional		$3,304.65	$5,899.53	$7,831.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,913.22 / $3,029.92 / $4,396.00	Facility		$1,913.22	$3,029.92	$4,396.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $3,583.00 / $7,700.00	Facility		$2,203.00	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,305.63 / $5,787.82 / $11,262.74	Professional		$2,305.63	$5,787.82	$11,262.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,769.63 / $4,495.10	Professional		$145.52	$1,769.63	$4,495.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,913.22 / $3,029.92 / $4,396.00	Facility		$1,913.22	$3,029.92	$4,396.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,932.50 / $6,072.39 / $7,931.64	Professional		$3,932.50	$6,072.39	$7,931.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60,150.74 / $60,150.74 / $60,150.74	Facility		$60,150.74	$60,150.74	$60,150.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,386.54 / $9,550.85 / $22,159.00	Professional		$3,386.54	$9,550.85	$22,159.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,960.77 / $9,960.77 / $9,960.77	Professional		$9,960.77	$9,960.77	$9,960.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,886.03 / $13,219.88 / $13,219.88	Professional		$8,886.03	$13,219.88	$13,219.88
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 $2,143.71 / $6,231.00 / $9,383.57	Professional		$2,143.71	$6,231.00	$9,383.57