Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.24 / $3,174.86 / $14,482.00	Facility		$1,956.24	$3,174.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,084.71 / $1,956.24 / $5,527.56	Professional		$1,084.71	$1,956.24	$5,527.56
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 $1,513.03 / $3,803.37 / $9,453.53	Professional		$1,513.03	$3,803.37	$9,453.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,970.33 / $4,639.64 / $7,483.59	Facility		$3,970.33	$4,639.64	$7,483.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,681.00 / $4,783.97 / $6,397.94	Professional		$2,681.00	$4,783.97	$6,397.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,552.16 / $2,444.92 / $3,897.37	Facility		$1,552.16	$2,444.92	$3,897.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,784.06 / $3,216.32 / $7,700.00	Facility		$1,784.06	$3,216.32	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,879.06 / $4,738.26 / $9,061.52	Professional		$1,879.06	$4,738.26	$9,061.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $1,099.75 / $3,500.60	Professional		$94.67	$1,099.75	$3,500.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,552.16 / $2,444.92 / $3,897.37	Facility		$1,552.16	$2,444.92	$3,897.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,178.50 / $4,908.09 / $6,431.81	Professional		$3,178.50	$4,908.09	$6,431.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,666.80 / $48,666.80 / $48,666.80	Facility		$48,666.80	$48,666.80	$48,666.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,746.16 / $7,684.20 / $19,773.00	Professional		$2,746.16	$7,684.20	$19,773.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,045.36 / $8,045.36 / $8,045.36	Professional		$8,045.36	$8,045.36	$8,045.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,209.05 / $10,720.07 / $10,720.07	Professional		$7,209.05	$10,720.07	$10,720.07
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 $1,851.42 / $4,738.26 / $7,544.54	Professional		$1,851.42	$4,738.26	$7,544.54