Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,235.52 / $3,618.11 / $14,482.00	Facility		$2,235.52	$3,618.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,228.32 / $2,235.52 / $6,611.09	Professional		$1,228.32	$2,235.52	$6,611.09
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 $1,769.98 / $4,358.91 / $10,821.74	Professional		$1,769.98	$4,358.91	$10,821.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,520.02 / $5,282.00 / $8,519.68	Facility		$4,520.02	$5,282.00	$8,519.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,055.29 / $5,456.34 / $7,692.36	Professional		$3,055.29	$5,456.34	$7,692.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,768.86 / $2,798.46 / $4,914.00	Facility		$1,768.86	$2,798.46	$4,914.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,038.41 / $3,457.31 / $7,700.00	Facility		$2,038.41	$3,457.31	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,189.52 / $5,476.53 / $10,397.77	Professional		$2,189.52	$5,476.53	$10,397.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,262.90 / $3,934.80	Professional		$112.28	$1,262.90	$3,934.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,768.86 / $2,798.46 / $4,914.00	Facility		$1,768.86	$2,798.46	$4,914.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,632.20 / $5,608.68 / $7,335.78	Professional		$3,632.20	$5,608.68	$7,335.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55,592.68 / $55,592.68 / $55,592.68	Facility		$55,592.68	$55,592.68	$55,592.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,132.13 / $8,817.35 / $25,568.00	Professional		$3,132.13	$8,817.35	$25,568.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,209.78 / $9,209.78 / $9,209.78	Professional		$9,209.78	$9,209.78	$9,209.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,215.53 / $12,226.71 / $12,226.71	Professional		$8,215.53	$12,226.71	$12,226.71
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 $2,127.21 / $5,476.53 / $8,649.73	Professional		$2,127.21	$5,476.53	$8,649.73