Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,624.08 / $5,855.31 / $14,482.00	Facility		$3,624.08	$5,855.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,007.38 / $3,624.08 / $10,299.79	Professional		$2,007.38	$3,624.08	$10,299.79
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 $2,880.62 / $7,055.01 / $17,532.09	Professional		$2,880.62	$7,055.01	$17,532.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,291.86 / $8,521.12 / $13,744.26	Facility		$7,291.86	$8,521.12	$13,744.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,944.47 / $8,814.43 / $11,712.77	Professional		$4,944.47	$8,814.43	$11,712.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,862.60 / $4,537.00 / $5,595.07	Facility		$2,862.60	$4,537.00	$5,595.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,096.39 / $7,700.00	Facility		$2,678.00	$4,096.39	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,458.59 / $8,676.28 / $16,883.53	Professional		$3,458.59	$8,676.28	$16,883.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $2,043.91 / $6,383.45	Professional		$171.04	$2,043.91	$6,383.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,862.60 / $4,537.00 / $5,595.07	Facility		$2,862.60	$4,537.00	$5,595.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,852.60 / $9,037.31 / $11,850.57	Professional		$5,852.60	$9,037.31	$11,850.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72,345.84 / $72,345.84 / $72,345.84	Facility		$72,345.84	$72,345.84	$72,345.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,059.80 / $14,317.30 / $23,442.30	Professional		$5,059.80	$14,317.30	$23,442.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,920.56 / $14,920.56 / $14,920.56	Professional		$14,920.56	$14,920.56	$14,920.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,531.83 / $19,751.71 / $19,751.71	Professional		$7,531.83	$19,751.71	$19,751.71
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 $3,215.22 / $8,676.28 / $14,091.90	Professional		$3,215.22	$8,676.28	$14,091.90