Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.19 / $3,723.07 / $14,482.00	Facility		$2,300.19	$3,723.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,267.93 / $2,300.19 / $6,515.81	Professional		$1,267.93	$2,300.19	$6,515.81
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 $1,825.03 / $4,484.82 / $11,133.45	Professional		$1,825.03	$4,484.82	$11,133.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,647.08 / $5,430.48 / $8,759.16	Facility		$4,647.08	$5,430.48	$8,759.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,143.92 / $5,613.85 / $7,451.22	Professional		$3,143.92	$5,613.85	$7,451.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,820.17 / $2,881.29 / $4,854.91	Facility		$1,820.17	$2,881.29	$4,854.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,098.94 / $3,557.61 / $7,700.00	Facility		$2,098.94	$3,557.61	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,215.01 / $5,505.93 / $10,714.22	Professional		$2,215.01	$5,505.93	$10,714.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,291.43 / $4,012.94	Professional		$112.28	$1,291.43	$4,012.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,820.17 / $2,881.29 / $4,854.91	Facility		$1,820.17	$2,881.29	$4,854.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,740.10 / $5,775.29 / $7,547.56	Professional		$3,740.10	$5,775.29	$7,547.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,231.98 / $57,231.98 / $57,231.98	Facility		$57,231.98	$57,231.98	$57,231.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,222.56 / $9,085.70 / $24,631.00	Professional		$3,222.56	$9,085.70	$24,631.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,475.03 / $9,475.03 / $9,475.03	Professional		$9,475.03	$9,475.03	$9,475.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,453.86 / $12,579.74 / $12,579.74	Professional		$8,453.86	$12,579.74	$12,579.74
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 $2,193.12 / $5,542.43 / $8,925.37	Professional		$2,193.12	$5,542.43	$8,925.37