Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,072.53 / $3,356.75 / $14,482.00	Facility		$2,072.53	$3,356.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.94 / $2,072.53 / $5,870.00	Professional		$1,151.94	$2,072.53	$5,870.00
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 $1,637.72 / $4,040.41 / $10,029.27	Professional		$1,637.72	$4,040.41	$10,029.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,190.21 / $4,896.59 / $7,898.03	Facility		$4,190.21	$4,896.59	$7,898.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,834.59 / $5,060.34 / $6,777.48	Professional		$2,834.59	$5,060.34	$6,777.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,641.08 / $2,595.09 / $3,768.00	Facility		$1,641.08	$2,595.09	$3,768.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,891.73 / $3,364.00 / $7,700.00	Facility		$1,891.73	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.47 / $5,033.64 / $9,648.12	Professional		$1,995.47	$5,033.64	$9,648.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,177.97 / $3,666.32	Professional		$112.28	$1,177.97	$3,666.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,641.08 / $2,595.09 / $3,768.00	Facility		$1,641.08	$2,595.09	$3,768.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,370.90 / $5,205.18 / $6,803.38	Professional		$3,370.90	$5,205.18	$6,803.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51,568.66 / $51,568.66 / $51,568.66	Facility		$51,568.66	$51,568.66	$51,568.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,904.81 / $8,181.65 / $18,542.75	Professional		$2,904.81	$8,181.65	$18,542.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,535.34 / $8,535.34 / $8,535.34	Professional		$8,535.34	$8,535.34	$8,535.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,181.79 / $11,339.33 / $11,339.33	Professional		$6,181.79	$11,339.33	$11,339.33
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 $1,963.60 / $5,000.72 / $8,035.74	Professional		$1,963.60	$5,000.72	$8,035.74