Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,322.23 / $3,767.92 / $14,482.00	Facility		$2,322.23	$3,767.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,272.29 / $2,322.23 / $6,832.10	Professional		$1,272.29	$2,322.23	$6,832.10
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 $1,810.23 / $4,518.55 / $11,229.01	Professional		$1,810.23	$4,518.55	$11,229.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,708.35 / $5,502.08 / $8,874.66	Facility		$4,708.35	$5,502.08	$8,874.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,181.80 / $5,677.54 / $7,754.91	Professional		$3,181.80	$5,677.54	$7,754.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,842.09 / $2,903.92 / $4,987.50	Facility		$1,842.09	$2,903.92	$4,987.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,119.21 / $3,583.00 / $7,700.00	Facility		$2,119.21	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,207.14 / $5,605.84 / $10,771.06	Professional		$2,207.14	$5,605.84	$10,771.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,288.88 / $4,115.26	Professional		$112.28	$1,288.88	$4,115.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,842.09 / $2,903.92 / $4,987.50	Facility		$1,842.09	$2,903.92	$4,987.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,775.85 / $5,830.49 / $7,633.17	Professional		$3,775.85	$5,830.49	$7,633.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,785.52 / $57,785.52 / $57,785.52	Facility		$57,785.52	$57,785.52	$57,785.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,259.11 / $9,133.90 / $25,568.00	Professional		$3,259.11	$9,133.90	$25,568.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,556.36 / $9,556.36 / $9,556.36	Professional		$9,556.36	$9,556.36	$9,556.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,555.68 / $12,722.47 / $12,722.47	Professional		$8,555.68	$12,722.47	$12,722.47
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 $2,201.65 / $5,774.25 / $9,349.31	Professional		$2,201.65	$5,774.25	$9,349.31