Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,417.04 / $3,909.01 / $14,482.00	Facility		$2,417.04	$3,909.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.79 / $2,417.04 / $6,816.50	Professional		$1,414.79	$2,417.04	$6,816.50
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 $1,896.28 / $4,717.34 / $11,704.32	Professional		$1,896.28	$4,717.34	$11,704.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,875.96 / $5,697.95 / $9,190.58	Facility		$4,875.96	$5,697.95	$9,190.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,300.94 / $5,895.69 / $7,816.66	Professional		$3,300.94	$5,895.69	$7,816.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,911.07 / $3,029.60 / $4,126.07	Facility		$1,911.07	$3,029.60	$4,126.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $3,583.00 / $7,700.00	Facility		$2,203.00	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,317.21 / $5,865.14 / $11,274.07	Professional		$2,317.21	$5,865.14	$11,274.07
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 $1,911.07 / $3,029.60 / $4,126.07	Facility		$1,911.07	$3,029.60	$4,126.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,931.20 / $6,070.38 / $7,926.47	Professional		$3,931.20	$6,070.38	$7,926.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60,151.52 / $60,151.52 / $60,151.52	Facility		$60,151.52	$60,151.52	$60,151.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,384.35 / $9,560.45 / $20,369.00	Professional		$3,384.35	$9,560.45	$20,369.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,960.87 / $9,960.87 / $9,960.87	Professional		$9,960.87	$9,960.87	$9,960.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,876.07 / $13,211.29 / $13,211.29	Professional		$8,876.07	$13,211.29	$13,211.29
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 $2,317.21 / $6,768.95 / $9,785.92	Professional		$2,317.21	$6,768.95	$9,785.92