Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,808.40 / $6,154.40 / $14,482.00	Facility		$3,808.40	$6,154.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,127.87 / $3,808.40 / $10,789.90	Professional		$2,127.87	$3,808.40	$10,789.90
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 $3,013.26 / $7,413.46 / $18,421.66	Professional		$3,013.26	$7,413.46	$18,421.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,662.22 / $8,953.91 / $14,442.35	Facility		$7,662.22	$8,953.91	$14,442.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,197.05 / $9,263.06 / $12,311.28	Professional		$5,197.05	$9,263.06	$12,311.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,008.82 / $4,767.27 / $5,880.87	Facility		$3,008.82	$4,767.27	$5,880.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,735.29 / $4,218.56 / $7,700.00	Facility		$2,735.29	$4,218.56	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,667.94 / $9,117.48 / $17,742.08	Professional		$3,667.94	$9,117.48	$17,742.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $2,124.88 / $6,751.89	Professional		$171.04	$2,124.88	$6,751.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,008.82 / $4,767.27 / $5,880.87	Facility		$3,008.82	$4,767.27	$5,880.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,150.30 / $9,497.01 / $12,453.73	Professional		$6,150.30	$9,497.01	$12,453.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $76,025.67 / $76,025.67 / $76,025.67	Facility		$76,025.67	$76,025.67	$76,025.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,317.32 / $15,045.35 / $26,634.00	Professional		$5,317.32	$15,045.35	$26,634.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,677.58 / $15,677.58 / $15,677.58	Professional		$15,677.58	$15,677.58	$15,677.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,247.61 / $20,756.93 / $20,756.93	Professional		$7,247.61	$20,756.93	$20,756.93
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 $3,634.25 / $9,210.61 / $15,400.18	Professional		$3,634.25	$9,210.61	$15,400.18