Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,319.11 / $3,747.04 / $14,482.00	Facility		$2,319.11	$3,747.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.05 / $2,319.11 / $6,582.46	Professional		$1,288.05	$2,319.11	$6,582.46
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 $1,844.76 / $4,531.18 / $11,238.15	Professional		$1,844.76	$4,531.18	$11,238.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,674.10 / $5,462.07 / $8,810.12	Facility		$4,674.10	$5,462.07	$8,810.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,164.16 / $5,654.40 / $7,490.19	Professional		$3,164.16	$5,654.40	$7,490.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,831.89 / $2,908.22 / $4,710.00	Facility		$1,831.89	$2,908.22	$4,710.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,115.64 / $3,580.50 / $7,700.00	Facility		$2,115.64	$3,580.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,237.66 / $5,565.59 / $10,830.32	Professional		$2,237.66	$5,565.59	$10,830.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,686.41 / $4,244.40	Professional		$145.52	$1,686.41	$4,244.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,831.89 / $2,908.22 / $4,710.00	Facility		$1,831.89	$2,908.22	$4,710.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,770.00 / $5,821.46 / $7,602.07	Professional		$3,770.00	$5,821.46	$7,602.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,716.88 / $57,716.88 / $57,716.88	Facility		$57,716.88	$57,716.88	$57,716.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,245.83 / $9,184.15 / $23,012.00	Professional		$3,245.83	$9,184.15	$23,012.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,564.11 / $9,564.11 / $9,564.11	Professional		$9,564.11	$9,564.11	$9,564.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,508.27 / $12,670.59 / $12,670.59	Professional		$8,508.27	$12,670.59	$12,670.59
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 $2,218.90 / $5,565.59 / $9,012.51	Professional		$2,218.90	$5,565.59	$9,012.51