Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.11 / $2,259.11 / $17,823.00	Facility		$2,259.11	$2,259.11	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,929.49 / $2,259.11 / $3,217.50	Professional		$1,929.49	$2,259.11	$3,217.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,930.86 / $4,634.06 / $11,928.74	Professional		$1,930.86	$4,634.06	$11,928.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,242.96 / $7,295.39 / $11,191.32	Facility		$6,242.96	$7,295.39	$11,191.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,667.76 / $8,687.35 / $9,978.79	Professional		$2,667.76	$8,687.35	$9,978.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,993.35 / $2,722.26 / $4,877.38	Facility		$1,993.35	$2,722.26	$4,877.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,993.35 / $3,064.24 / $6,235.00	Facility		$1,993.35	$3,064.24	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,177.60 / $4,848.50 / $15,301.92	Professional		$2,177.60	$4,848.50	$15,301.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $466.28 / $3,776.81	Professional		$58.40	$466.28	$3,776.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,993.35 / $2,722.26 / $4,922.78	Facility		$1,993.35	$2,722.26	$4,922.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,712.47 / $4,978.12 / $7,166.77	Professional		$2,712.47	$4,978.12	$7,166.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,354.05 / $38,949.76 / $38,949.76	Facility		$2,354.05	$38,949.76	$38,949.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,800.06 / $9,399.75 / $15,301.92	Professional		$3,800.06	$9,399.75	$15,301.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,713.19 / $8,713.19 / $8,713.19	Professional		$8,713.19	$8,713.19	$8,713.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,386.28 / $12,386.28 / $12,386.28	Professional		$12,386.28	$12,386.28	$12,386.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,150.39 / $4,344.84 / $9,914.99	Professional		$2,150.39	$4,344.84	$9,914.99