Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,047.05 / $2,047.05 / $17,823.00	Facility		$2,047.05	$2,047.05	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,061.13 / $2,047.05 / $2,275.34	Professional		$1,061.13	$2,047.05	$2,275.34
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 $1,620.95 / $3,666.36 / $10,436.29	Professional		$1,620.95	$3,666.36	$10,436.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,074.21 / $5,929.61 / $9,564.25	Facility		$5,074.21	$5,929.61	$9,564.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,941.16 / $6,102.86 / $8,200.81	Professional		$2,941.16	$6,102.86	$8,200.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,028.20 / $2,490.54 / $3,964.21	Facility		$2,028.20	$2,490.54	$3,964.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,028.20 / $3,364.00 / $7,868.00	Facility		$2,028.20	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,999.84 / $5,390.25 / $9,937.31	Professional		$1,999.84	$5,390.25	$9,937.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,197.43	Professional		$50.00	$70.00	$4,197.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,028.20 / $2,490.54 / $3,964.21	Facility		$2,028.20	$2,490.54	$3,964.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,136.96 / $3,937.82 / $5,646.20	Professional		$2,136.96	$3,937.82	$5,646.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,152.23 / $21,152.23 / $21,152.23	Facility		$21,152.23	$21,152.23	$21,152.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,870.15 / $7,492.95 / $12,087.04	Professional		$2,870.15	$7,492.95	$12,087.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,003.58 / $10,003.58 / $10,003.58	Professional		$10,003.58	$10,003.58	$10,003.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,131.52 / $13,902.40 / $13,902.40	Professional		$12,131.52	$13,902.40	$13,902.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,968.65 / $5,608.70 / $9,104.57	Professional		$1,968.65	$5,608.70	$9,104.57