Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.11 / $2,941.47 / $14,482.00	Facility		$1,811.11	$2,941.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.56 / $1,811.11 / $5,113.49	Professional		$1,003.56	$1,811.11	$5,113.49
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 $1,426.76 / $3,519.78 / $8,749.79	Professional		$1,426.76	$3,519.78	$8,749.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,678.37 / $4,298.47 / $6,933.28	Facility		$3,678.37	$4,298.47	$6,933.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,483.90 / $4,430.21 / $5,963.02	Professional		$2,483.90	$4,430.21	$5,963.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,438.05 / $2,262.56 / $3,678.98	Facility		$1,438.05	$2,262.56	$3,678.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,652.30 / $3,158.93 / $7,700.00	Facility		$1,652.30	$3,158.93	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,738.30 / $4,333.58 / $8,378.62	Professional		$1,738.30	$4,333.58	$8,378.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,016.61 / $3,197.08	Professional		$85.00	$1,016.61	$3,197.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,438.05 / $2,262.56 / $3,678.98	Facility		$1,438.05	$2,262.56	$3,678.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,943.85 / $4,545.76 / $5,956.19	Professional		$2,943.85	$4,545.76	$5,956.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,044.74 / $45,044.74 / $45,044.74	Facility		$45,044.74	$45,044.74	$45,044.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,543.10 / $7,105.10 / $18,665.00	Professional		$2,543.10	$7,105.10	$18,665.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,446.45 / $7,446.45 / $7,446.45	Professional		$7,446.45	$7,446.45	$7,446.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,676.18 / $9,927.39 / $9,927.39	Professional		$6,676.18	$9,927.39	$9,927.39
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 $1,711.14 / $5,060.82 / $7,993.05	Professional		$1,711.14	$5,060.82	$7,993.05