Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.11 / $3,317.29 / $14,482.00	Facility		$2,051.11	$3,317.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.14 / $2,051.11 / $5,837.53	Professional		$1,144.14	$2,051.11	$5,837.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,627.27 / $3,987.03 / $9,914.06	Professional		$1,627.27	$3,987.03	$9,914.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,136.14 / $4,833.41 / $7,796.12	Facility		$4,136.14	$4,833.41	$7,796.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,801.26 / $4,993.25 / $6,644.09	Professional		$2,801.26	$4,993.25	$6,644.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.79 / $2,564.67 / $3,360.00	Facility		$1,621.79	$2,564.67	$3,360.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,859.76 / $3,169.85 / $7,700.00	Facility		$1,859.76	$3,169.85	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,984.43 / $5,032.71 / $9,522.36	Professional		$1,984.43	$5,032.71	$9,522.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,151.30 / $3,573.05	Professional		$112.28	$1,151.30	$3,573.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,621.79 / $2,564.67 / $3,360.00	Facility		$1,621.79	$2,564.67	$3,360.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,309.80 / $5,110.84 / $6,713.18	Professional		$3,309.80	$5,110.84	$6,713.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,190.56 / $31,190.56 / $31,190.56	Facility		$31,190.56	$31,190.56	$31,190.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,866.30 / $8,075.00 / $12,257.84	Professional		$2,866.30	$8,075.00	$12,257.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,437.29 / $8,437.29 / $8,437.29	Professional		$8,437.29	$8,437.29	$8,437.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,416.05 / $11,189.06 / $11,189.06	Professional		$7,416.05	$11,189.06	$11,189.06
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 $1,809.89 / $5,284.67 / $8,265.44	Professional		$1,809.89	$5,284.67	$8,265.44