Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,576.94 / $2,576.94 / $2,576.94	Facility		$2,576.94	$2,576.94	$2,576.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,576.94 / $2,938.68 / $4,600.71	Professional		$2,576.94	$2,938.68	$4,600.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $9,649.00 / $12,444.00	Facility		$9,287.00	$9,649.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,960.59 / $4,205.27 / $9,188.54	Professional		$1,960.59	$4,205.27	$9,188.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,917.58 / $2,240.85 / $3,437.52	Facility		$1,917.58	$2,240.85	$3,437.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.22 / $2,541.04 / $2,887.55	Professional		$856.22	$2,541.04	$2,887.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $1,812.68 / $4,000.62	Facility		$668.33	$1,812.68	$4,000.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $828.56 / $7,251.10 / $12,631.00	Facility		$828.56	$7,251.10	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.47 / $1,732.07 / $16,830.00	Professional		$690.47	$1,732.07	$16,830.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $5,975.42	Professional		$55.00	$70.00	$5,975.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $1,769.72 / $3,221.96	Facility		$668.33	$1,769.72	$3,221.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,181.95 / $7,675.02 / $10,703.00	Professional		$4,181.95	$7,675.02	$10,703.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,222.12 / $17,222.12 / $17,222.12	Facility		$17,222.12	$17,222.12	$17,222.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,316.69 / $12,078.90 / $16,830.00	Professional		$2,316.69	$12,078.90	$16,830.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.02 / $1,199.02 / $4,105.83	Professional		$1,199.02	$1,199.02	$4,105.83
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.13 / $1,732.91 / $2,923.13	Professional		$728.13	$1,732.91	$2,923.13