Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.89 / $2,938.72 / $14,482.00	Facility		$1,814.89	$2,938.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.04 / $1,814.89 / $5,427.83	Professional		$1,006.04	$1,814.89	$5,427.83
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 $1,434.72 / $3,537.53 / $8,782.70	Professional		$1,434.72	$3,537.53	$8,782.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,672.97 / $4,292.14 / $6,923.09	Facility		$3,672.97	$4,292.14	$6,923.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,481.60 / $4,431.00 / $6,017.71	Professional		$2,481.60	$4,431.00	$6,017.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,436.71 / $2,270.56 / $3,150.00	Facility		$1,436.71	$2,270.56	$3,150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,654.34 / $2,808.12 / $7,700.00	Facility		$1,654.34	$2,808.12	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,734.61 / $4,364.02 / $8,429.09	Professional		$1,734.61	$4,364.02	$8,429.09
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 $1,436.71 / $2,270.56 / $3,150.00	Facility		$1,436.71	$2,270.56	$3,150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,947.75 / $4,551.78 / $5,957.26	Professional		$2,947.75	$4,551.78	$5,957.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,115.20 / $45,115.20 / $45,115.20	Facility		$45,115.20	$45,115.20	$45,115.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,543.55 / $7,147.90 / $14,063.00	Professional		$2,543.55	$7,147.90	$14,063.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,474.44 / $7,474.44 / $7,474.44	Professional		$7,474.44	$7,474.44	$7,474.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,682.98 / $9,929.12 / $9,929.12	Professional		$6,682.98	$9,929.12	$9,929.12
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 $1,723.55 / $4,372.52 / $6,361.63	Professional		$1,723.55	$4,372.52	$6,361.63