Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,196.35 / $3,561.21 / $14,482.00	Facility		$2,196.35	$3,561.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.58 / $2,196.35 / $6,465.65	Professional		$1,203.58	$2,196.35	$6,465.65
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 $1,735.24 / $4,273.71 / $10,618.59	Professional		$1,735.24	$4,273.71	$10,618.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,448.83 / $5,198.81 / $8,385.49	Facility		$4,448.83	$5,198.81	$8,385.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,007.25 / $5,365.65 / $7,363.64	Professional		$3,007.25	$5,365.65	$7,363.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,741.04 / $2,747.13 / $4,777.50	Facility		$1,741.04	$2,747.13	$4,777.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,003.54 / $3,402.93 / $7,700.00	Facility		$2,003.54	$3,402.93	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,112.54 / $5,273.37 / $10,186.69	Professional		$2,112.54	$5,273.37	$10,186.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,258.09 / $3,903.71	Professional		$112.28	$1,258.09	$3,903.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,741.04 / $2,747.13 / $4,777.50	Facility		$1,741.04	$2,747.13	$4,777.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,569.80 / $5,512.32 / $7,213.85	Professional		$3,569.80	$5,512.32	$7,213.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54,612.22 / $54,612.22 / $54,612.22	Facility		$54,612.22	$54,612.22	$54,612.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,080.06 / $8,638.35 / $24,716.00	Professional		$3,080.06	$8,638.35	$24,716.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,036.87 / $9,036.87 / $9,036.87	Professional		$9,036.87	$9,036.87	$9,036.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,086.32 / $12,023.51 / $12,023.51	Professional		$8,086.32	$12,023.51	$12,023.51
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 $2,082.54 / $6,024.22 / $8,482.78	Professional		$2,082.54	$6,024.22	$8,482.78