Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,371.51 / $3,841.99 / $14,482.00	Facility		$2,371.51	$3,841.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.73 / $2,371.51 / $6,701.35	Professional		$1,314.73	$2,371.51	$6,701.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,857.41 / $4,619.55 / $11,473.43	Professional		$1,857.41	$4,619.55	$11,473.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,797.56 / $5,606.33 / $9,042.81	Facility		$4,797.56	$5,606.33	$9,042.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,244.35 / $5,790.74 / $7,695.81	Professional		$3,244.35	$5,790.74	$7,695.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,878.31 / $2,968.28 / $4,047.88	Facility		$1,878.31	$2,968.28	$4,047.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,163.92 / $3,583.00 / $7,700.00	Facility		$2,163.92	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,278.08 / $5,662.43 / $11,018.76	Professional		$2,278.08	$5,662.43	$11,018.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,707.55 / $4,325.70	Professional		$145.52	$1,707.55	$4,325.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,878.31 / $2,968.28 / $4,047.88	Facility		$1,878.31	$2,968.28	$4,047.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,855.80 / $5,953.95 / $7,785.36	Professional		$3,855.80	$5,953.95	$7,785.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58,995.56 / $58,995.56 / $58,995.56	Facility		$58,995.56	$58,995.56	$58,995.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,324.09 / $9,343.95 / $20,556.45	Professional		$3,324.09	$9,343.95	$20,556.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,764.37 / $9,764.37 / $9,764.37	Professional		$9,764.37	$9,764.37	$9,764.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,723.87 / $12,976.11 / $12,976.11	Professional		$8,723.87	$12,976.11	$12,976.11
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 $2,254.00 / $5,662.43 / $9,169.48	Professional		$2,254.00	$5,662.43	$9,169.48