Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.23 / $3,162.08 / $14,482.00	Facility		$1,954.23	$3,162.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.70 / $1,954.23 / $5,721.28	Professional		$1,156.70	$1,954.23	$5,721.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,552.12 / $3,669.70 / $9,257.36	Professional		$1,552.12	$3,669.70	$9,257.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,922.58 / $4,583.84 / $7,393.57	Facility		$3,922.58	$4,583.84	$7,393.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,670.20 / $4,769.53 / $6,910.22	Professional		$2,670.20	$4,769.53	$6,910.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,405.37 / $2,172.96 / $3,412.50	Facility		$1,405.37	$2,172.96	$3,412.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,686.44 / $3,021.55 / $7,700.00	Facility		$1,686.44	$3,021.55	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,992.78 / $5,155.35 / $9,712.21	Professional		$1,992.78	$5,155.35	$9,712.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,109.32 / $3,462.60	Professional		$112.28	$1,109.32	$3,462.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,405.37 / $2,172.96 / $3,412.50	Facility		$1,405.37	$2,172.96	$3,412.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,203.85 / $4,947.24 / $6,412.41	Professional		$3,203.85	$4,947.24	$6,412.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,098.88 / $30,098.88 / $30,098.88	Facility		$30,098.88	$30,098.88	$30,098.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,737.87 / $8,236.00 / $11,802.08	Professional		$2,737.87	$8,236.00	$11,802.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,053.23 / $8,053.23 / $8,053.23	Professional		$8,053.23	$8,053.23	$8,053.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,367.00 / $10,687.72 / $10,687.72	Professional		$7,367.00	$10,687.72	$10,687.72
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 $1,992.78 / $5,021.83 / $7,646.30	Professional		$1,992.78	$5,021.83	$7,646.30