Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,983.27 / $4,808.77 / $14,482.00	Facility		$2,983.27	$4,808.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.47 / $2,983.27 / $4,808.77	Professional		$1,781.47	$2,983.27	$4,808.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,380.69 / $5,567.36 / $14,470.26	Professional		$2,380.69	$5,567.36	$14,470.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,987.04 / $6,996.33 / $11,284.83	Facility		$5,987.04	$6,996.33	$11,284.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,060.74 / $7,260.69 / $9,586.31	Professional		$4,060.74	$7,260.69	$9,586.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,350.94 / $3,332.97 / $4,634.02	Facility		$2,350.94	$3,332.97	$4,634.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,350.94 / $3,749.14 / $7,868.00	Facility		$2,350.94	$3,749.14	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,871.52 / $8,036.28 / $13,269.26	Professional		$2,871.52	$8,036.28	$13,269.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,674.63 / $5,969.54	Professional		$85.00	$2,674.63	$5,969.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,350.94 / $3,332.97 / $4,634.02	Facility		$2,350.94	$3,332.97	$4,634.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,853.55 / $7,494.63 / $9,761.65	Professional		$4,853.55	$7,494.63	$9,761.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59,984.40 / $59,984.40 / $59,984.40	Facility		$59,984.40	$59,984.40	$59,984.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,167.89 / $11,862.80 / $17,921.43	Professional		$4,167.89	$11,862.80	$17,921.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,314.82 / $12,314.82 / $12,314.82	Professional		$12,314.82	$12,314.82	$12,314.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,452.24 / $16,270.04 / $16,270.04	Professional		$10,452.24	$16,270.04	$16,270.04
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 $2,871.52 / $8,036.28 / $12,142.57	Professional		$2,871.52	$8,036.28	$12,142.57