Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,559.15 / $4,132.82 / $14,482.00	Facility		$2,559.15	$4,132.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.10 / $2,559.15 / $7,650.32	Professional		$1,416.10	$2,559.15	$7,650.32
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 $2,036.32 / $5,000.81 / $12,400.22	Professional		$2,036.32	$5,000.81	$12,400.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,152.60 / $6,021.23 / $9,712.02	Facility		$5,152.60	$6,021.23	$9,712.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,489.94 / $6,235.99 / $8,258.36	Professional		$3,489.94	$6,235.99	$8,258.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,020.49 / $3,210.27 / $4,838.10	Facility		$2,020.49	$3,210.27	$4,838.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,204.17 / $3,583.00 / $7,700.00	Facility		$2,204.17	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,462.73 / $6,144.72 / $11,957.26	Professional		$2,462.73	$6,144.72	$11,957.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,426.05 / $4,447.13	Professional		$138.70	$1,426.05	$4,447.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,020.49 / $3,210.27 / $4,838.10	Facility		$2,020.49	$3,210.27	$4,838.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,161.30 / $6,425.69 / $8,383.98	Professional		$4,161.30	$6,425.69	$8,383.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63,675.04 / $63,675.04 / $63,675.04	Facility		$63,675.04	$63,675.04	$63,675.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,579.67 / $10,139.79 / $24,546.00	Professional		$3,579.67	$10,139.79	$24,546.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,553.12 / $10,553.12 / $10,553.12	Professional		$10,553.12	$10,553.12	$10,553.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,568.42 / $13,973.81 / $13,973.81	Professional		$9,568.42	$13,973.81	$13,973.81
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 $2,450.44 / $6,593.65 / $9,949.34	Professional		$2,450.44	$6,593.65	$9,949.34