Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.60 / $1,869.60 / $17,823.00	Facility		$1,869.60	$1,869.60	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.75 / $1,659.91 / $1,943.81	Professional		$974.75	$1,659.91	$1,943.81
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 $1,480.44 / $3,348.54 / $9,092.00	Professional		$1,480.44	$3,348.54	$9,092.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,029.81 / $4,709.14 / $7,595.69	Facility		$4,029.81	$4,709.14	$7,595.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.33 / $4,847.12 / $6,513.17	Professional		$2,551.33	$4,847.12	$6,513.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,610.87 / $1,978.09 / $3,148.52	Facility		$1,610.87	$1,978.09	$3,148.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.91 / $3,148.52 / $7,868.00	Facility		$1,659.91	$3,148.52	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,806.31 / $4,639.81 / $7,892.64	Professional		$1,806.31	$4,639.81	$7,892.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $3,333.79	Professional		$50.00	$70.00	$3,333.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,610.87 / $1,978.09 / $3,148.52	Facility		$1,610.87	$1,978.09	$3,148.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,951.29 / $3,595.68 / $5,155.62	Professional		$1,951.29	$3,595.68	$5,155.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,320.62 / $19,320.62 / $19,320.62	Facility		$19,320.62	$19,320.62	$19,320.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,621.52 / $6,846.75 / $11,040.16	Professional		$2,621.52	$6,846.75	$11,040.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,945.21 / $7,945.21 / $7,945.21	Professional		$7,945.21	$7,945.21	$7,945.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,635.31 / $11,041.80 / $11,041.80	Professional		$9,635.31	$11,041.80	$11,041.80
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 $1,751.81 / $4,290.89 / $7,231.21	Professional		$1,751.81	$4,290.89	$7,231.21