Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,385.54 / $3,859.78 / $14,482.00	Facility		$2,385.54	$3,859.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.47 / $2,385.54 / $7,091.10	Professional		$1,315.47	$2,385.54	$7,091.10
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 $1,893.38 / $4,652.17 / $11,544.66	Professional		$1,893.38	$4,652.17	$11,544.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,818.29 / $5,630.55 / $9,081.87	Facility		$4,818.29	$5,630.55	$9,081.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,259.38 / $5,821.22 / $7,723.15	Professional		$3,259.38	$5,821.22	$7,723.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,887.01 / $2,650.73 / $3,733.45	Facility		$1,887.01	$2,650.73	$3,733.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,058.55 / $3,364.00 / $7,868.00	Facility		$2,058.55	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,274.48 / $6,192.15 / $10,602.20	Professional		$2,274.48	$6,192.15	$10,602.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,716.82 / $4,405.48	Professional		$145.52	$1,716.82	$4,405.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,887.01 / $2,650.73 / $3,733.45	Facility		$1,887.01	$2,650.73	$3,733.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,878.55 / $5,989.08 / $7,826.35	Professional		$3,878.55	$5,989.08	$7,826.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59,359.30 / $59,359.30 / $59,359.30	Facility		$59,359.30	$59,359.30	$59,359.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,341.58 / $9,422.35 / $18,655.11	Professional		$3,341.58	$9,422.35	$18,655.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,824.96 / $9,824.96 / $9,824.96	Professional		$9,824.96	$9,824.96	$9,824.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,859.84 / $13,044.35 / $13,044.35	Professional		$8,859.84	$13,044.35	$13,044.35
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 $2,274.48 / $6,146.35 / $9,257.99	Professional		$2,274.48	$6,146.35	$9,257.99