Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.37 / $2,945.47 / $14,482.00	Facility		$1,817.37	$2,945.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.65 / $1,817.37 / $5,118.78	Professional		$1,000.65	$1,817.37	$5,118.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,433.93 / $3,541.87 / $8,791.37	Professional		$1,433.93	$3,541.87	$8,791.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,677.47 / $4,297.42 / $6,931.58	Facility		$3,677.47	$4,297.42	$6,931.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,487.29 / $4,438.71 / $5,901.70	Professional		$2,487.29	$4,438.71	$5,901.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,440.01 / $2,007.50 / $2,852.38	Facility		$1,440.01	$2,007.50	$2,852.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,658.70 / $2,852.38 / $7,868.00	Facility		$1,658.70	$2,852.38	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,728.82 / $4,343.57 / $8,067.98	Professional		$1,728.82	$4,343.57	$8,067.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,020.29 / $3,197.92	Professional		$85.00	$1,020.29	$3,197.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,440.01 / $2,007.50 / $2,852.38	Facility		$1,440.01	$2,007.50	$2,852.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,955.55 / $4,563.82 / $5,967.63	Professional		$2,955.55	$4,563.82	$5,967.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,201.52 / $45,201.52 / $45,201.52	Facility		$45,201.52	$45,201.52	$45,201.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,547.98 / $7,167.60 / $13,938.86	Professional		$2,547.98	$7,167.60	$13,938.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,481.82 / $7,481.82 / $7,481.82	Professional		$7,481.82	$7,481.82	$7,481.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,688.19 / $9,946.46 / $9,946.46	Professional		$6,688.19	$9,946.46	$9,946.46
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 $1,728.82 / $4,343.57 / $7,045.07	Professional		$1,728.82	$4,343.57	$7,045.07