Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,016.24 / $6,485.76 / $14,482.00	Facility		$4,016.24	$6,485.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.14 / $4,016.24 / $6,485.76	Professional		$2,376.14	$4,016.24	$6,485.76
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 $3,173.06 / $7,522.78 / $19,437.72	Professional		$3,173.06	$7,522.78	$19,437.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,070.43 / $9,430.94 / $15,211.77	Facility		$8,070.43	$9,430.94	$15,211.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,476.87 / $9,763.61 / $12,963.03	Professional		$5,476.87	$9,763.61	$12,963.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,170.82 / $4,442.28 / $6,266.11	Facility		$3,170.82	$4,442.28	$6,266.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,442.28 / $7,868.00	Facility		$2,678.00	$4,442.28	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,856.90 / $10,684.94 / $17,749.65	Professional		$3,856.90	$10,684.94	$17,749.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.84 / $2,219.69 / $6,991.48	Professional		$181.84	$2,219.69	$6,991.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,170.82 / $4,442.28 / $6,266.11	Facility		$3,170.82	$4,442.28	$6,266.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,101.80 / $8,425.81 / $11,801.72	Professional		$5,101.80	$8,425.81	$11,801.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $99,266.44 / $99,266.44 / $99,266.44	Facility		$99,266.44	$99,266.44	$99,266.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,604.65 / $15,957.80 / $24,013.92	Professional		$5,604.65	$15,957.80	$24,013.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,542.29 / $16,542.29 / $16,542.29	Professional		$16,542.29	$16,542.29	$16,542.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21,878.59 / $21,878.59 / $21,878.59	Professional		$21,878.59	$21,878.59	$21,878.59
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 $3,588.75 / $10,347.83 / $15,051.66	Professional		$3,588.75	$10,347.83	$15,051.66