Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,031.94 / $6,515.91 / $14,482.00	Facility		$4,031.94	$6,515.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,193.48 / $4,031.94 / $11,376.60	Professional		$2,193.48	$4,031.94	$11,376.60
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 $3,210.13 / $7,874.78 / $19,531.18	Professional		$3,210.13	$7,874.78	$19,531.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.79 / $9,490.95 / $15,308.58	Facility		$8,121.79	$9,490.95	$15,308.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,502.32 / $9,827.87 / $13,019.14	Professional		$5,502.32	$9,827.87	$13,019.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,185.56 / $4,494.18 / $6,293.09	Facility		$3,185.56	$4,494.18	$6,293.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,494.18 / $7,868.00	Facility		$2,678.00	$4,494.18	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,862.27 / $10,574.03 / $17,943.80	Professional		$3,862.27	$10,574.03	$17,943.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.84 / $2,286.22 / $7,151.42	Professional		$181.84	$2,286.22	$7,151.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,185.56 / $4,494.18 / $6,293.09	Facility		$3,185.56	$4,494.18	$6,293.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,559.80 / $10,129.34 / $13,213.12	Professional		$6,559.80	$10,129.34	$13,213.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100,337.38 / $100,337.38 / $100,337.38	Facility		$100,337.38	$100,337.38	$100,337.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,641.55 / $15,979.05 / $24,209.60	Professional		$5,641.55	$15,979.05	$24,209.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,621.83 / $16,621.83 / $16,621.83	Professional		$16,621.83	$16,621.83	$16,621.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,077.12 / $22,022.68 / $22,022.68	Professional		$15,077.12	$22,022.68	$22,022.68
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 $3,834.97 / $9,750.42 / $15,668.78	Professional		$3,834.97	$9,750.42	$15,668.78