Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,422.44 / $3,919.93 / $14,482.00	Facility		$2,422.44	$3,919.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.83 / $2,422.44 / $6,863.87	Professional		$1,368.83	$2,422.44	$6,863.87
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 $1,921.96 / $4,723.26 / $11,723.83	Professional		$1,921.96	$4,723.26	$11,723.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,891.28 / $5,715.85 / $9,219.45	Facility		$4,891.28	$5,715.85	$9,219.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,310.15 / $5,910.82 / $7,844.00	Professional		$3,310.15	$5,910.82	$7,844.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,916.41 / $3,034.88 / $4,300.22	Facility		$1,916.41	$3,034.88	$4,300.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $3,583.00 / $7,700.00	Facility		$2,203.00	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,333.33 / $5,975.07 / $11,284.44	Professional		$2,333.33	$5,975.07	$11,284.44
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 $1,916.41 / $3,034.88 / $4,300.22	Facility		$1,916.41	$3,034.88	$4,300.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,939.65 / $6,083.43 / $7,946.81	Professional		$3,939.65	$6,083.43	$7,946.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60,275.28 / $60,275.28 / $60,275.28	Facility		$60,275.28	$60,275.28	$60,275.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,393.01 / $9,569.25 / $21,818.00	Professional		$3,393.01	$9,569.25	$21,818.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,977.48 / $9,977.48 / $9,977.48	Professional		$9,977.48	$9,977.48	$9,977.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,034.45 / $13,245.14 / $13,245.14	Professional		$7,034.45	$13,245.14	$13,245.14
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 $2,310.17 / $5,845.16 / $9,794.93	Professional		$2,310.17	$5,845.16	$9,794.93