Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,361.11 / $3,821.38 / $14,482.00	Facility		$2,361.11	$3,821.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.50 / $2,361.11 / $6,612.36	Professional		$1,299.50	$2,361.11	$6,612.36
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 $1,873.73 / $4,604.30 / $11,427.28	Professional		$1,873.73	$4,604.30	$11,427.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,769.63 / $5,573.69 / $8,990.16	Facility		$4,769.63	$5,573.69	$8,990.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,226.94 / $5,763.03 / $7,832.41	Professional		$3,226.94	$5,763.03	$7,832.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,868.23 / $2,957.83 / $4,770.92	Facility		$1,868.23	$2,957.83	$4,770.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,154.73 / $3,583.00 / $7,700.00	Facility		$2,154.73	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,251.46 / $5,763.82 / $10,998.65	Professional		$2,251.46	$5,763.82	$10,998.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,726.55 / $4,343.07	Professional		$145.52	$1,726.55	$4,343.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,868.23 / $2,957.83 / $4,770.92	Facility		$1,868.23	$2,957.83	$4,770.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,839.55 / $5,928.86 / $7,748.12	Professional		$3,839.55	$5,928.86	$7,748.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58,762.60 / $58,762.60 / $58,762.60	Facility		$58,762.60	$58,762.60	$58,762.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,308.19 / $9,326.90 / $25,948.28	Professional		$3,308.19	$9,326.90	$25,948.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,725.09 / $9,725.09 / $9,725.09	Professional		$9,725.09	$9,725.09	$9,725.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,677.07 / $12,914.06 / $12,914.06	Professional		$8,677.07	$12,914.06	$12,914.06
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 $2,251.46 / $6,471.22 / $9,161.42	Professional		$2,251.46	$6,471.22	$9,161.42