Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.79 / $3,003.41 / $14,482.00	Facility		$1,855.79	$3,003.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,042.86 / $1,855.79 / $5,431.54	Professional		$1,042.86	$1,855.79	$5,431.54
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 $1,476.08 / $3,601.50 / $8,982.01	Professional		$1,476.08	$3,601.50	$8,982.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,725.23 / $4,353.22 / $7,021.60	Facility		$3,725.23	$4,353.22	$7,021.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,536.21 / $4,528.93 / $6,496.02	Professional		$2,536.21	$4,528.93	$6,496.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,468.34 / $2,338.17 / $2,940.00	Facility		$1,468.34	$2,338.17	$2,940.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,706.77 / $2,869.93 / $7,700.00	Facility		$1,706.77	$2,869.93	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,828.31 / $4,850.45 / $8,682.39	Professional		$1,828.31	$4,850.45	$8,682.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,073.30 / $3,372.67	Professional		$112.28	$1,073.30	$3,372.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,468.34 / $2,338.17 / $2,940.00	Facility		$1,468.34	$2,338.17	$2,940.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,042.65 / $4,698.32 / $6,088.94	Professional		$3,042.65	$4,698.32	$6,088.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,576.96 / $28,576.96 / $28,576.96	Facility		$28,576.96	$28,576.96	$28,576.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,599.77 / $7,362.70 / $11,205.20	Professional		$2,599.77	$7,362.70	$11,205.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,644.04 / $7,644.04 / $7,644.04	Professional		$7,644.04	$7,644.04	$7,644.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,819.75 / $10,148.61 / $10,148.61	Professional		$6,819.75	$10,148.61	$10,148.61
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 $1,788.12 / $4,482.71 / $7,258.08	Professional		$1,788.12	$4,482.71	$7,258.08