Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,436.95 / $5,817.44 / $14,482.00	Facility		$3,436.95	$5,817.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,280.27 / $3,436.95 / $10,130.00	Professional		$2,280.27	$3,436.95	$10,130.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,856.62 / $7,934.27 / $17,074.06	Professional		$2,856.62	$7,934.27	$17,074.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,255.82 / $8,479.00 / $13,676.32	Facility		$7,255.82	$8,479.00	$13,676.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,912.51 / $8,685.12 / $11,573.63	Professional		$4,912.51	$8,685.12	$11,573.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,805.43 / $3,570.00 / $5,558.89	Facility		$2,805.43	$3,570.00	$5,558.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $3,839.00 / $7,700.00	Facility		$2,553.00	$3,839.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,920.99 / $8,909.66 / $20,193.52	Professional		$2,920.99	$8,909.66	$20,193.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.53 / $1,903.74 / $6,063.96	Professional		$266.53	$1,903.74	$6,063.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,805.43 / $3,570.00 / $5,558.89	Facility		$2,805.43	$3,570.00	$5,558.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,851.30 / $9,035.31 / $11,580.39	Professional		$5,851.30	$9,035.31	$11,580.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65,425.93 / $65,425.93 / $65,425.93	Facility		$65,425.93	$65,425.93	$65,425.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,036.79 / $14,228.00 / $21,600.72	Professional		$5,036.79	$14,228.00	$21,600.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,975.64 / $6,975.64 / $6,975.64	Professional		$6,975.64	$6,975.64	$6,975.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,677.65 / $16,949.91 / $16,949.91	Professional		$6,677.65	$16,949.91	$16,949.91
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 $3,194.51 / $10,032.36 / $12,719.83	Professional		$3,194.51	$10,032.36	$12,719.83