Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,785.48 / $4,502.68 / $14,482.00	Facility		$2,785.48	$4,502.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.53 / $2,785.48 / $8,311.37	Professional		$1,539.53	$2,785.48	$8,311.37
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 $2,184.11 / $5,438.48 / $13,490.54	Professional		$2,184.11	$5,438.48	$13,490.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,615.78 / $6,562.48 / $10,585.05	Facility		$5,615.78	$6,562.48	$10,585.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,802.27 / $6,792.35 / $9,177.41	Professional		$3,802.27	$6,792.35	$9,177.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,201.31 / $3,492.66 / $5,439.00	Facility		$2,201.31	$3,492.66	$5,439.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,401.42 / $3,583.00 / $7,700.00	Facility		$2,401.42	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,663.00 / $6,679.88 / $12,998.64	Professional		$2,663.00	$6,679.88	$12,998.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,586.18 / $4,932.33	Professional		$138.70	$1,586.18	$4,932.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,201.31 / $3,492.66 / $5,439.00	Facility		$2,201.31	$3,492.66	$5,439.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,530.50 / $6,995.79 / $9,131.98	Professional		$4,530.50	$6,995.79	$9,131.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69,314.44 / $69,314.44 / $69,314.44	Facility		$69,314.44	$69,314.44	$69,314.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,899.05 / $11,022.90 / $32,890.94	Professional		$3,899.05	$11,022.90	$32,890.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.04 / $11,481.04 / $11,481.04	Professional		$11,481.04	$11,481.04	$11,481.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,361.30 / $15,220.55 / $15,220.55	Professional		$7,361.30	$15,220.55	$15,220.55
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 $2,663.00 / $7,782.17 / $10,821.33	Professional		$2,663.00	$7,782.17	$10,821.33