Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,423.44 / $3,913.16 / $14,482.00	Facility		$2,423.44	$3,913.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,333.51 / $2,423.44 / $6,876.33	Professional		$1,333.51	$2,423.44	$6,876.33
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 $1,908.68 / $4,735.05 / $11,742.06	Professional		$1,908.68	$4,735.05	$11,742.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,880.47 / $5,703.21 / $9,199.08	Facility		$4,880.47	$5,703.21	$9,199.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,304.45 / $5,905.53 / $7,819.54	Professional		$3,304.45	$5,905.53	$7,819.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,913.10 / $3,039.69 / $4,182.62	Facility		$1,913.10	$3,039.69	$4,182.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,010.76 / $3,583.00 / $7,700.00	Facility		$2,010.76	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,319.94 / $5,817.87 / $11,321.23	Professional		$2,319.94	$5,817.87	$11,321.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,743.78 / $4,407.76	Professional		$145.52	$1,743.78	$4,407.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,913.10 / $3,039.69 / $4,182.62	Facility		$1,913.10	$3,039.69	$4,182.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,939.00 / $6,082.42 / $7,939.69	Professional		$3,939.00	$6,082.42	$7,939.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,697.53 / $48,697.53 / $48,697.53	Facility		$48,697.53	$48,697.53	$48,697.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,389.98 / $9,600.45 / $20,369.00	Professional		$3,389.98	$9,600.45	$20,369.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,993.00 / $9,993.00 / $9,993.00	Professional		$9,993.00	$9,993.00	$9,993.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,885.46 / $13,233.30 / $13,233.30	Professional		$8,885.46	$13,233.30	$13,233.30
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 $2,319.94 / $4,427.72 / $9,420.10	Professional		$2,319.94	$4,427.72	$9,420.10