Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,324.19 / $3,761.26 / $14,482.00	Facility		$2,324.19	$3,761.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.75 / $2,324.19 / $6,585.14	Professional		$1,291.75	$2,324.19	$6,585.14
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 $1,832.43 / $4,532.95 / $11,248.10	Professional		$1,832.43	$4,532.95	$11,248.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,694.84 / $5,486.29 / $8,849.19	Facility		$4,694.84	$5,486.29	$8,849.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,176.17 / $5,672.04 / $7,527.48	Professional		$3,176.17	$5,672.04	$7,527.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,838.84 / $2,565.40 / $3,638.53	Facility		$1,838.84	$2,565.40	$3,638.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,006.00 / $3,364.00 / $7,868.00	Facility		$2,006.00	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,216.15 / $6,008.71 / $10,329.82	Professional		$2,216.15	$6,008.71	$10,329.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,663.25 / $4,255.73	Professional		$145.52	$1,663.25	$4,255.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,838.84 / $2,565.40 / $3,638.53	Facility		$1,838.84	$2,565.40	$3,638.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,778.45 / $5,834.51 / $7,625.79	Professional		$3,778.45	$5,834.51	$7,625.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,828.68 / $57,828.68 / $57,828.68	Facility		$57,828.68	$57,828.68	$57,828.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,255.95 / $9,181.20 / $21,294.10	Professional		$3,255.95	$9,181.20	$21,294.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,572.58 / $9,572.58 / $9,572.58	Professional		$9,572.58	$9,572.58	$9,572.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,540.56 / $12,710.10 / $12,710.10	Professional		$8,540.56	$12,710.10	$12,710.10
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 $2,216.15 / $6,502.87 / $9,020.14	Professional		$2,216.15	$6,502.87	$9,020.14