Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,195.44 / $5,165.85 / $14,482.00	Facility		$3,195.44	$5,165.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,786.27 / $3,195.44 / $9,796.00	Professional		$1,786.27	$3,195.44	$9,796.00
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 $2,531.92 / $6,219.00 / $15,454.55	Professional		$2,531.92	$6,219.00	$15,454.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,434.90 / $7,519.69 / $12,128.99	Facility		$6,434.90	$7,519.69	$12,128.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,362.28 / $7,774.89 / $10,340.20	Professional		$4,362.28	$7,774.89	$10,340.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,525.53 / $3,998.14 / $5,596.42	Facility		$2,525.53	$3,998.14	$5,596.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,525.53 / $3,998.14 / $7,700.00	Facility		$2,525.53	$3,998.14	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,058.07 / $7,643.14 / $14,873.11	Professional		$3,058.07	$7,643.14	$14,873.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $1,812.16 / $5,611.90	Professional		$145.66	$1,812.16	$5,611.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,525.53 / $3,998.14 / $5,596.42	Facility		$2,525.53	$3,998.14	$5,596.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,160.35 / $7,968.37 / $10,452.95	Professional		$5,160.35	$7,968.37	$10,452.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,709.46 / $57,709.46 / $57,709.46	Facility		$57,709.46	$57,709.46	$57,709.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,463.07 / $12,612.45 / $25,739.00	Professional		$4,463.07	$12,612.45	$25,739.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,152.46 / $13,152.46 / $13,152.46	Professional		$13,152.46	$13,152.46	$13,152.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,729.96 / $17,422.23 / $17,422.23	Professional		$11,729.96	$17,422.23	$17,422.23
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 $3,045.02 / $7,698.97 / $12,424.12	Professional		$3,045.02	$7,698.97	$12,424.12