Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,714.13 / $5,998.27 / $14,482.00	Facility		$3,714.13	$5,998.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,058.21 / $3,714.13 / $10,599.70	Professional		$2,058.21	$3,714.13	$10,599.70
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 $2,948.92 / $7,235.68 / $17,970.13	Professional		$2,948.92	$7,235.68	$17,970.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,465.78 / $8,724.35 / $14,072.07	Facility		$7,465.78	$8,724.35	$14,072.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,065.22 / $9,030.90 / $11,991.88	Professional		$5,065.22	$9,030.90	$11,991.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,932.49 / $4,396.00 / $5,731.69	Facility		$2,932.49	$4,396.00	$5,731.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,128.49 / $7,700.00	Facility		$2,678.00	$4,128.49	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,550.90 / $8,904.59 / $17,327.81	Professional		$3,550.90	$8,904.59	$17,327.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $2,098.90 / $6,492.68	Professional		$171.04	$2,098.90	$6,492.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,932.49 / $4,396.00 / $5,731.69	Facility		$2,932.49	$4,396.00	$5,731.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,999.50 / $9,264.15 / $12,141.60	Professional		$5,999.50	$9,264.15	$12,141.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74,154.36 / $74,154.36 / $74,154.36	Facility		$74,154.36	$74,154.36	$74,154.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,184.05 / $14,694.05 / $22,519.40	Professional		$5,184.05	$14,694.05	$22,519.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,293.35 / $15,293.35 / $15,293.35	Professional		$15,293.35	$15,293.35	$15,293.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,620.08 / $20,236.75 / $20,236.75	Professional		$13,620.08	$20,236.75	$20,236.75
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 $3,550.90 / $8,997.73 / $13,077.70	Professional		$3,550.90	$8,997.73	$13,077.70