Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,397.94 / $3,888.14 / $14,482.00	Facility		$2,397.94	$3,888.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,325.63 / $2,397.94 / $6,829.91	Professional		$1,325.63	$2,397.94	$6,829.91
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 $1,907.42 / $4,672.77 / $11,590.97	Professional		$1,907.42	$4,672.77	$11,590.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,846.22 / $5,663.20 / $9,134.53	Facility		$4,846.22	$5,663.20	$9,134.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,283.31 / $5,853.93 / $7,783.57	Professional		$3,283.31	$5,853.93	$7,783.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,900.87 / $3,001.71 / $4,206.82	Facility		$1,900.87	$3,001.71	$4,206.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,068.42 / $3,364.00 / $7,700.00	Facility		$2,068.42	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.06 / $5,752.76 / $11,194.53	Professional		$2,290.06	$5,752.76	$11,194.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,728.06 / $4,394.10	Professional		$145.52	$1,728.06	$4,394.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,900.87 / $3,001.71 / $4,206.82	Facility		$1,900.87	$3,001.71	$4,206.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,889.60 / $6,006.14 / $7,870.31	Professional		$3,889.60	$6,006.14	$7,870.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,078.24 / $48,078.24 / $48,078.24	Facility		$48,078.24	$48,078.24	$48,078.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,360.36 / $9,493.00 / $17,046.00	Professional		$3,360.36	$9,493.00	$17,046.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,864.41 / $9,864.41 / $9,864.41	Professional		$9,864.41	$9,864.41	$9,864.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,828.66 / $13,117.64 / $13,117.64	Professional		$8,828.66	$13,117.64	$13,117.64
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 $2,250.34 / $5,752.76 / $9,322.59	Professional		$2,250.34	$5,752.76	$9,322.59