Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,713.91 / $4,336.81 / $14,482.00	Facility		$2,713.91	$4,336.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.02 / $2,713.91 / $7,664.44	Professional		$1,501.02	$2,713.91	$7,664.44
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 $2,158.73 / $4,860.72 / $12,728.51	Professional		$2,158.73	$4,860.72	$12,728.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,390.50 / $6,299.23 / $10,160.43	Facility		$5,390.50	$6,299.23	$10,160.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,662.20 / $6,536.68 / $8,648.25	Professional		$3,662.20	$6,536.68	$8,648.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,120.21 / $3,022.24 / $4,179.79	Facility		$2,120.21	$3,022.24	$4,179.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $3,407.98 / $7,868.00	Facility		$2,203.00	$3,407.98	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,668.96 / $7,502.14 / $12,674.53	Professional		$2,668.96	$7,502.14	$12,674.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $3,031.13 / $5,393.21	Professional		$85.00	$3,031.13	$5,393.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,120.21 / $3,022.24 / $4,179.79	Facility		$2,120.21	$3,022.24	$4,179.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,350.45 / $6,717.76 / $8,788.26	Professional		$4,350.45	$6,717.76	$8,788.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,785.20 / $53,785.20 / $53,785.20	Facility		$53,785.20	$53,785.20	$53,785.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,752.30 / $10,748.05 / $16,112.08	Professional		$3,752.30	$10,748.05	$16,112.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,156.38 / $11,156.38 / $11,156.38	Professional		$11,156.38	$11,156.38	$11,156.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,847.44 / $14,647.66 / $14,647.66	Professional		$9,847.44	$14,647.66	$14,647.66
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 $2,601.64 / $6,984.31 / $11,001.53	Professional		$2,601.64	$6,984.31	$11,001.53