Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.53 / $2,980.69 / $14,482.00	Facility		$1,836.53	$2,980.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.66 / $1,836.53 / $5,158.53	Professional		$1,017.66	$1,836.53	$5,158.53
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 $1,445.93 / $3,572.76 / $8,878.44	Professional		$1,445.93	$3,572.76	$8,878.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,725.23 / $4,353.22 / $7,021.60	Facility		$3,725.23	$4,353.22	$7,021.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,517.03 / $4,489.95 / $6,025.82	Professional		$2,517.03	$4,489.95	$6,025.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,457.23 / $2,295.62 / $4,305.00	Facility		$1,457.23	$2,295.62	$4,305.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,675.91 / $3,364.00 / $7,700.00	Facility		$1,675.91	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,753.61 / $4,396.55 / $8,508.10	Professional		$1,753.61	$4,396.55	$8,508.10
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 $1,457.23 / $2,295.62 / $4,305.00	Facility		$1,457.23	$2,295.62	$4,305.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,986.10 / $4,611.00 / $6,036.51	Professional		$2,986.10	$4,611.00	$6,036.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,673.68 / $45,673.68 / $45,673.68	Facility		$45,673.68	$45,673.68	$45,673.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,577.38 / $7,214.90 / $20,029.00	Professional		$2,577.38	$7,214.90	$20,029.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,555.93 / $7,555.93 / $7,555.93	Professional		$7,555.93	$7,555.93	$7,555.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,826.51 / $10,061.23 / $10,061.23	Professional		$5,826.51	$10,061.23	$10,061.23
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 $1,738.45 / $4,399.85 / $7,385.06	Professional		$1,738.45	$4,399.85	$7,385.06