Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,556.71 / $4,141.13 / $14,482.00	Facility		$2,556.71	$4,141.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.46 / $2,556.71 / $7,185.10	Professional		$1,404.46	$2,556.71	$7,185.10
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 $2,003.62 / $4,981.45 / $12,368.82	Professional		$2,003.62	$4,981.45	$12,368.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,171.53 / $6,043.34 / $9,747.69	Facility		$5,171.53	$6,043.34	$9,747.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,496.94 / $6,243.60 / $8,292.89	Professional		$3,496.94	$6,243.60	$8,292.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,024.55 / $3,200.72 / $4,787.72	Facility		$2,024.55	$3,200.72	$4,787.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,208.60 / $3,583.00 / $7,700.00	Facility		$2,208.60	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,442.53 / $6,208.91 / $11,884.26	Professional		$2,442.53	$6,208.91	$11,884.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,443.65 / $4,507.87	Professional		$138.70	$1,443.65	$4,507.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,024.55 / $3,200.72 / $4,787.72	Facility		$2,024.55	$3,200.72	$4,787.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,156.10 / $6,417.66 / $8,394.20	Professional		$4,156.10	$6,417.66	$8,394.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63,618.88 / $63,618.88 / $63,618.88	Facility		$63,618.88	$63,618.88	$63,618.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,584.05 / $10,077.90 / $27,293.42	Professional		$3,584.05	$10,077.90	$27,293.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,526.37 / $10,526.37 / $10,526.37	Professional		$10,526.37	$10,526.37	$10,526.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,403.11 / $13,990.92 / $13,990.92	Professional		$9,403.11	$13,990.92	$13,990.92
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 $2,431.54 / $6,208.91 / $9,889.78	Professional		$2,431.54	$6,208.91	$9,889.78