Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,286.40 / $3,700.87 / $14,482.00	Facility		$2,286.40	$3,700.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.83 / $2,286.40 / $6,510.80	Professional		$1,269.83	$2,286.40	$6,510.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,816.83 / $4,472.43 / $11,046.32	Professional		$1,816.83	$4,472.43	$11,046.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,613.72 / $5,391.51 / $8,696.32	Facility		$4,613.72	$5,391.51	$8,696.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,125.18 / $5,567.19 / $7,416.69	Professional		$3,125.18	$5,567.19	$7,416.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,809.31 / $2,543.56 / $3,584.87	Facility		$1,809.31	$2,543.56	$3,584.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,973.80 / $3,364.00 / $7,868.00	Facility		$1,973.80	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,180.21 / $5,479.51 / $10,162.20	Professional		$2,180.21	$5,479.51	$10,162.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,283.38 / $3,981.85	Professional		$112.28	$1,283.38	$3,981.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,809.31 / $2,543.56 / $3,584.87	Facility		$1,809.31	$2,543.56	$3,584.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,692.00 / $5,701.02 / $7,484.81	Professional		$3,692.00	$5,701.02	$7,484.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,621.24 / $45,621.24 / $45,621.24	Facility		$45,621.24	$45,621.24	$45,621.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,195.77 / $9,042.10 / $17,592.52	Professional		$3,195.77	$9,042.10	$17,592.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,400.86 / $9,400.86 / $9,400.86	Professional		$9,400.86	$9,400.86	$9,400.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,684.40 / $12,475.16 / $12,475.16	Professional		$5,684.40	$12,475.16	$12,475.16
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 $2,180.21 / $5,517.53 / $8,873.79	Professional		$2,180.21	$5,517.53	$8,873.79