Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,859.08 / $2,993.53 / $14,482.00	Facility		$1,859.08	$2,993.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.80 / $1,859.08 / $5,312.58	Professional		$1,030.80	$1,859.08	$5,312.58
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 $1,487.17 / $3,633.19 / $9,013.11	Professional		$1,487.17	$3,633.19	$9,013.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,721.63 / $4,349.01 / $7,014.81	Facility		$3,721.63	$4,349.01	$7,014.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,527.88 / $4,512.26 / $5,969.32	Professional		$2,527.88	$4,512.26	$5,969.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,463.51 / $2,333.48 / $2,860.49	Facility		$1,463.51	$2,333.48	$2,860.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,619.11 / $2,803.00 / $7,700.00	Facility		$1,619.11	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,788.54 / $4,477.58 / $8,713.11	Professional		$1,788.54	$4,477.58	$8,713.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $2,102.62 / $3,708.66	Professional		$85.00	$2,102.62	$3,708.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,463.51 / $2,333.48 / $2,860.49	Facility		$1,463.51	$2,333.48	$2,860.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,002.35 / $4,636.09 / $6,066.51	Professional		$3,002.35	$4,636.09	$6,066.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,123.80 / $37,123.80 / $37,123.80	Facility		$37,123.80	$37,123.80	$37,123.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,590.19 / $7,388.75 / $18,937.84	Professional		$2,590.19	$7,388.75	$18,937.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,670.52 / $7,670.52 / $7,670.52	Professional		$7,670.52	$7,670.52	$7,670.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,797.32 / $10,111.21 / $10,111.21	Professional		$6,797.32	$10,111.21	$10,111.21
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 $1,773.30 / $3,951.39 / $6,575.99	Professional		$1,773.30	$3,951.39	$6,575.99