Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,476.62 / $4,007.83 / $14,482.00	Facility		$2,476.62	$4,007.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.43 / $2,476.62 / $7,033.98	Professional		$1,366.43	$2,476.62	$7,033.98
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 $1,966.08 / $4,435.74 / $11,639.77	Professional		$1,966.08	$4,435.74	$11,639.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,001.22 / $5,844.32 / $9,426.68	Facility		$5,001.22	$5,844.32	$9,426.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.39 / $6,043.21 / $8,018.09	Professional		$3,384.39	$6,043.21	$8,018.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,959.39 / $2,752.51 / $3,876.15	Facility		$1,959.39	$2,752.51	$3,876.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.51 / $3,364.00 / $7,868.00	Facility		$2,137.51	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,363.15 / $6,436.44 / $11,008.87	Professional		$2,363.15	$6,436.44	$11,008.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,769.63 / $4,495.10	Professional		$145.52	$1,769.63	$4,495.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,959.39 / $2,752.51 / $3,876.15	Facility		$1,959.39	$2,752.51	$3,876.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,028.05 / $6,219.93 / $8,124.81	Professional		$4,028.05	$6,219.93	$8,124.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61,629.36 / $61,629.36 / $61,629.36	Facility		$61,629.36	$61,629.36	$61,629.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,469.01 / $9,788.15 / $19,413.43	Professional		$3,469.01	$9,788.15	$19,413.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,202.15 / $10,202.15 / $10,202.15	Professional		$10,202.15	$10,202.15	$10,202.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,204.99 / $13,541.84 / $13,541.84	Professional		$9,204.99	$13,541.84	$13,541.84
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 $2,363.15 / $6,436.44 / $9,193.61	Professional		$2,363.15	$6,436.44	$9,193.61