Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,753.87 / $4,454.26 / $14,482.00	Facility		$2,753.87	$4,454.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,526.37 / $2,753.87 / $7,837.48	Professional		$1,526.37	$2,753.87	$7,837.48
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 $2,184.39 / $5,357.80 / $13,299.28	Professional		$2,184.39	$5,357.80	$13,299.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,561.71 / $6,499.30 / $10,483.14	Facility		$5,561.71	$6,499.30	$10,483.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,761.38 / $6,713.61 / $8,923.04	Professional		$3,761.38	$6,713.61	$8,923.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,177.64 / $3,443.86 / $4,843.33	Facility		$2,177.64	$3,443.86	$4,843.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,375.60 / $3,839.00 / $8,416.26	Facility		$2,375.60	$3,839.00	$8,416.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,625.80 / $6,596.13 / $12,835.67	Professional		$2,625.80	$6,596.13	$12,835.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,552.94 / $4,805.77	Professional		$138.70	$1,552.94	$4,805.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,177.64 / $3,443.86 / $4,843.33	Facility		$2,177.64	$3,443.86	$4,843.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,440.80 / $6,857.28 / $9,026.11	Professional		$4,440.80	$6,857.28	$9,026.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55,050.24 / $55,050.24 / $55,050.24	Facility		$55,050.24	$55,050.24	$55,050.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,853.85 / $10,884.70 / $22,658.53	Professional		$3,853.85	$10,884.70	$22,658.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,318.22 / $11,318.22 / $11,318.22	Professional		$11,318.22	$11,318.22	$11,318.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,110.73 / $15,044.11 / $15,044.11	Professional		$6,110.73	$15,044.11	$15,044.11
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 $2,625.80 / $6,633.77 / $10,675.90	Professional		$2,625.80	$6,633.77	$10,675.90