Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,834.96 / $4,580.85 / $14,482.00	Facility		$2,834.96	$4,580.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,585.03 / $2,834.96 / $8,086.59	Professional		$1,585.03	$2,834.96	$8,086.59
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 $2,249.59 / $5,077.54 / $13,315.16	Professional		$2,249.59	$5,077.54	$13,315.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,703.19 / $6,664.63 / $10,749.81	Facility		$5,703.19	$6,664.63	$10,749.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,868.29 / $6,895.32 / $9,161.87	Professional		$3,868.29	$6,895.32	$9,161.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,239.53 / $3,454.00 / $4,377.27	Facility		$2,239.53	$3,454.00	$4,377.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,239.53 / $3,549.32 / $7,700.00	Facility		$2,239.53	$3,549.32	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,671.57 / $6,789.53 / $13,212.03	Professional		$2,671.57	$6,789.53	$13,212.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,605.04 / $4,964.56	Professional		$138.70	$1,605.04	$4,964.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,239.53 / $3,454.00 / $4,377.27	Facility		$2,239.53	$3,454.00	$4,377.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,578.60 / $7,070.06 / $9,270.42	Professional		$4,578.60	$7,070.06	$9,270.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56,602.98 / $56,602.98 / $56,602.98	Facility		$56,602.98	$56,602.98	$56,602.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,958.15 / $11,203.85 / $18,209.83	Professional		$3,958.15	$11,203.85	$18,209.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,670.60 / $11,670.60 / $11,670.60	Professional		$11,670.60	$11,670.60	$11,670.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,401.62 / $15,451.27 / $15,451.27	Professional		$10,401.62	$15,451.27	$15,451.27
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 $2,575.13 / $6,789.53 / $11,039.62	Professional		$2,575.13	$6,789.53	$11,039.62