Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,256.31 / $3,652.88 / $14,482.00	Facility		$2,256.31	$3,652.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.82 / $2,256.31 / $6,393.47	Professional		$1,241.82	$2,256.31	$6,393.47
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 $1,790.06 / $4,399.85 / $10,919.86	Professional		$1,790.06	$4,399.85	$10,919.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,558.77 / $5,327.28 / $8,592.70	Facility		$4,558.77	$5,327.28	$8,592.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,084.66 / $5,507.24 / $7,311.67	Professional		$3,084.66	$5,507.24	$7,311.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,785.85 / $2,826.09 / $3,991.47	Facility		$1,785.85	$2,826.09	$3,991.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,059.48 / $3,490.53 / $7,700.00	Facility		$2,059.48	$3,490.53	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,166.21 / $5,399.76 / $10,507.62	Professional		$2,166.21	$5,399.76	$10,507.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,268.37 / $3,934.80	Professional		$112.28	$1,268.37	$3,934.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,785.85 / $2,826.09 / $3,991.47	Facility		$1,785.85	$2,826.09	$3,991.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,669.90 / $5,666.89 / $7,404.22	Professional		$3,669.90	$5,666.89	$7,404.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56,144.92 / $56,144.92 / $56,144.92	Facility		$56,144.92	$56,144.92	$56,144.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,161.35 / $8,910.50 / $19,602.00	Professional		$3,161.35	$8,910.50	$19,602.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,293.27 / $9,293.27 / $9,293.27	Professional		$9,293.27	$9,293.27	$9,293.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,294.45 / $12,340.79 / $12,340.79	Professional		$8,294.45	$12,340.79	$12,340.79
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 $2,150.75 / $5,444.28 / $8,752.86	Professional		$2,150.75	$5,444.28	$8,752.86