Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,301.65 / $3,720.82 / $14,482.00	Facility		$2,301.65	$3,720.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.96 / $2,301.65 / $6,860.98	Professional		$1,271.96	$2,301.65	$6,860.98
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 $1,829.75 / $4,495.68 / $11,151.43	Professional		$1,829.75	$4,495.68	$11,151.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,641.67 / $5,424.16 / $8,748.96	Facility		$4,641.67	$5,424.16	$8,748.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,142.04 / $5,612.60 / $7,438.28	Professional		$3,142.04	$5,612.60	$7,438.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.07 / $2,885.41 / $4,396.00	Facility		$1,819.07	$2,885.41	$4,396.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,100.28 / $3,555.46 / $7,700.00	Facility		$2,100.28	$3,555.46	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,227.15 / $5,520.30 / $10,742.17	Professional		$2,227.15	$5,520.30	$10,742.17
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 $1,819.07 / $2,885.41 / $4,396.00	Facility		$1,819.07	$2,885.41	$4,396.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,742.70 / $5,779.30 / $7,545.87	Professional		$3,742.70	$5,779.30	$7,545.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,268.64 / $57,268.64 / $57,268.64	Facility		$57,268.64	$57,268.64	$57,268.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,221.83 / $9,109.40 / $19,208.08	Professional		$3,221.83	$9,109.40	$19,208.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,490.33 / $9,490.33 / $9,490.33	Professional		$9,490.33	$9,490.33	$9,490.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,581.54 / $12,576.87 / $12,576.87	Professional		$8,581.54	$12,576.87	$12,576.87
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 $2,186.26 / $5,556.77 / $8,107.37	Professional		$2,186.26	$5,556.77	$8,107.37