Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,099.17 / $5,030.37 / $14,482.00	Facility		$3,099.17	$5,030.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,706.67 / $3,099.17 / $8,779.99	Professional		$1,706.67	$3,099.17	$8,779.99
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 $2,458.03 / $6,049.36 / $14,969.56	Professional		$2,458.03	$6,049.36	$14,969.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,251.07 / $7,304.87 / $11,782.49	Facility		$6,251.07	$7,304.87	$11,782.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,247.85 / $7,553.56 / $10,068.29	Professional		$4,247.85	$7,553.56	$10,068.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,459.29 / $3,880.46 / $4,830.00	Facility		$2,459.29	$3,880.46	$4,830.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,880.46 / $7,700.00	Facility		$2,429.00	$3,880.46	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,955.66 / $7,418.47 / $14,435.90	Professional		$2,955.66	$7,418.47	$14,435.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $1,784.66 / $5,533.76	Professional		$145.66	$1,784.66	$5,533.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,459.29 / $3,880.46 / $4,830.00	Facility		$2,459.29	$3,880.46	$4,830.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,041.39 / $7,784.70 / $10,155.39	Professional		$5,041.39	$7,784.70	$10,155.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62,096.16 / $62,096.16 / $62,096.16	Facility		$62,096.16	$62,096.16	$62,096.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,336.00 / $12,241.70 / $19,868.49	Professional		$4,336.00	$12,241.70	$19,868.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,739.75 / $12,739.75 / $12,739.75	Professional		$12,739.75	$12,739.75	$12,739.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,537.06 / $16,926.24 / $16,926.24	Professional		$6,537.06	$16,926.24	$16,926.24
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 $2,804.76 / $7,464.40 / $12,530.41	Professional		$2,804.76	$7,464.40	$12,530.41