Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,491.38 / $4,028.22 / $14,482.00	Facility		$2,491.38	$4,028.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.81 / $2,491.38 / $7,376.39	Professional		$1,375.81	$2,491.38	$7,376.39
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 $1,979.61 / $4,462.18 / $11,714.23	Professional		$1,979.61	$4,462.18	$11,714.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,024.64 / $5,871.70 / $9,470.84	Facility		$5,024.64	$5,871.70	$9,470.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,401.61 / $6,075.49 / $8,113.26	Professional		$3,401.61	$6,075.49	$8,113.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,969.35 / $3,123.07 / $4,770.92	Facility		$1,969.35	$3,123.07	$4,770.92
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 $2,428.64 / $5,973.22 / $11,623.53	Professional		$2,428.64	$5,973.22	$11,623.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,416.84 / $4,428.21	Professional		$138.70	$1,416.84	$4,428.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,969.35 / $3,123.07 / $4,770.92	Facility		$1,969.35	$3,123.07	$4,770.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,050.80 / $6,255.06 / $8,168.20	Professional		$4,050.80	$6,255.06	$8,168.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61,985.56 / $61,985.56 / $61,985.56	Facility		$61,985.56	$61,985.56	$61,985.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,487.55 / $9,856.79 / $24,205.00	Professional		$3,487.55	$9,856.79	$24,205.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,267.36 / $10,267.36 / $10,267.36	Professional		$10,267.36	$10,267.36	$10,267.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,282.52 / $13,614.15 / $13,614.15	Professional		$9,282.52	$13,614.15	$13,614.15
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 $2,380.78 / $6,017.04 / $9,673.98	Professional		$2,380.78	$6,017.04	$9,673.98