Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,251.20 / $5,265.11 / $14,482.00	Facility		$3,251.20	$5,265.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,770.05 / $3,251.20 / $9,064.51	Professional		$1,770.05	$3,251.20	$9,064.51
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 $2,557.32 / $6,323.68 / $15,730.99	Professional		$2,557.32	$6,323.68	$15,730.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,583.58 / $7,693.44 / $12,409.24	Facility		$6,583.58	$7,693.44	$12,409.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,446.09 / $7,940.61 / $10,556.02	Professional		$4,446.09	$7,940.61	$10,556.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,574.06 / $4,066.11 / $5,670.00	Facility		$2,574.06	$4,066.11	$5,670.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,574.06 / $4,066.11 / $7,700.00	Facility		$2,574.06	$4,066.11	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,081.42 / $7,733.32 / $15,048.58	Professional		$3,081.42	$7,733.32	$15,048.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $1,837.29 / $5,714.82	Professional		$145.66	$1,837.29	$5,714.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,574.06 / $4,066.11 / $5,670.00	Facility		$2,574.06	$4,066.11	$5,670.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,278.00 / $8,150.04 / $10,675.77	Professional		$5,278.00	$8,150.04	$10,675.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80,837.12 / $80,837.12 / $80,837.12	Facility		$80,837.12	$80,837.12	$80,837.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,558.20 / $12,761.25 / $28,429.64	Professional		$4,558.20	$12,761.25	$28,429.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,387.71 / $13,387.71 / $13,387.71	Professional		$13,387.71	$13,387.71	$13,387.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,673.94 / $17,793.65 / $17,793.65	Professional		$7,673.94	$17,793.65	$17,793.65
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 $3,076.85 / $8,415.12 / $13,062.21	Professional		$3,076.85	$8,415.12	$13,062.21