Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,398.03 / $5,499.50 / $14,482.00	Facility		$3,398.03	$5,499.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,870.04 / $3,398.03 / $9,605.54	Professional		$1,870.04	$3,398.03	$9,605.54
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 $2,689.11 / $6,086.02 / $15,945.80	Professional		$2,689.11	$6,086.02	$15,945.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,862.93 / $8,019.88 / $12,935.78	Facility		$6,862.93	$8,019.88	$12,935.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,644.01 / $8,291.93 / $11,004.91	Professional		$4,644.01	$8,291.93	$11,004.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,688.64 / $3,947.77 / $5,255.07	Facility		$2,688.64	$3,947.77	$5,255.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $3,947.77 / $7,700.00	Facility		$2,678.00	$3,947.77	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,238.00 / $8,127.25 / $15,815.14	Professional		$3,238.00	$8,127.25	$15,815.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $1,907.95 / $5,980.34	Professional		$171.04	$1,907.95	$5,980.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,688.64 / $3,947.77 / $5,255.07	Facility		$2,688.64	$3,947.77	$5,255.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,526.95 / $8,534.45 / $11,148.10	Professional		$5,526.95	$8,534.45	$11,148.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $68,292.84 / $68,292.84 / $68,292.84	Facility		$68,292.84	$68,292.84	$68,292.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,759.85 / $13,411.30 / $22,251.92	Professional		$4,759.85	$13,411.30	$22,251.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,976.32 / $13,976.32 / $13,976.32	Professional		$13,976.32	$13,976.32	$13,976.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,679.17 / $18,580.82 / $18,580.82	Professional		$6,679.17	$18,580.82	$18,580.82
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 $3,238.00 / $8,166.56 / $13,136.30	Professional		$3,238.00	$8,166.56	$13,136.30