Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.41 / $3,208.61 / $14,482.00	Facility		$1,982.41	$3,208.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.39 / $1,982.41 / $5,804.27	Professional		$1,114.39	$1,982.41	$5,804.27
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 $1,569.38 / $3,849.31 / $9,599.14	Professional		$1,569.38	$3,849.31	$9,599.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,979.35 / $4,650.18 / $7,500.58	Facility		$3,979.35	$4,650.18	$7,500.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,709.49 / $4,838.88 / $7,072.42	Professional		$2,709.49	$4,838.88	$7,072.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,568.66 / $2,498.01 / $3,066.01	Facility		$1,568.66	$2,498.01	$3,066.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,823.80 / $2,904.50 / $7,700.00	Facility		$1,823.80	$2,904.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,954.43 / $5,246.07 / $9,281.33	Professional		$1,954.43	$5,246.07	$9,281.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,132.99 / $3,525.77	Professional		$112.28	$1,132.99	$3,525.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,568.66 / $2,498.01 / $3,066.01	Facility		$1,568.66	$2,498.01	$3,066.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,251.30 / $5,020.51 / $6,505.63	Professional		$3,251.30	$5,020.51	$6,505.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,538.56 / $30,538.56 / $30,538.56	Facility		$30,538.56	$30,538.56	$30,538.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,777.69 / $7,913.23 / $12,689.00	Professional		$2,777.69	$7,913.23	$12,689.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,169.28 / $8,169.28 / $8,169.28	Professional		$8,169.28	$8,169.28	$8,169.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,694.86 / $10,843.12 / $10,843.12	Professional		$3,694.86	$10,843.12	$10,843.12
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 $1,911.70 / $5,246.07 / $7,758.57	Professional		$1,911.70	$5,246.07	$7,758.57