Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.05 / $3,462.32 / $14,482.00	Facility		$2,134.05	$3,462.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.78 / $2,134.05 / $5,998.78	Professional		$1,171.78	$2,134.05	$5,998.78
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 $1,685.18 / $4,151.72 / $10,315.28	Professional		$1,685.18	$4,151.72	$10,315.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,326.28 / $5,055.60 / $8,154.50	Facility		$4,326.28	$5,055.60	$8,154.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,923.74 / $5,215.93 / $7,049.37	Professional		$2,923.74	$5,215.93	$7,049.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,692.69 / $2,668.29 / $4,653.32	Facility		$1,692.69	$2,668.29	$4,653.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,947.34 / $3,364.00 / $7,700.00	Facility		$1,947.34	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,039.24 / $5,153.54 / $9,895.70	Professional		$2,039.24	$5,153.54	$9,895.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,230.59 / $3,825.57	Professional		$112.28	$1,230.59	$3,825.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,692.69 / $2,668.29 / $4,653.32	Facility		$1,692.69	$2,668.29	$4,653.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,469.70 / $5,357.75 / $7,012.58	Professional		$3,469.70	$5,357.75	$7,012.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,079.52 / $53,079.52 / $53,079.52	Facility		$53,079.52	$53,079.52	$53,079.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,994.13 / $8,391.60 / $23,608.00	Professional		$2,994.13	$8,391.60	$23,608.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,778.71 / $8,778.71 / $8,778.71	Professional		$8,778.71	$8,778.71	$8,778.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,861.78 / $11,688.06 / $11,688.06	Professional		$7,861.78	$11,688.06	$11,688.06
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 $2,022.60 / $5,153.54 / $8,589.51	Professional		$2,022.60	$5,153.54	$8,589.51