Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,716.50 / $4,385.68 / $14,482.00	Facility		$2,716.50	$4,385.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.84 / $2,716.50 / $8,125.28	Professional		$1,502.84	$2,716.50	$8,125.28
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 $2,161.67 / $5,308.46 / $13,163.04	Professional		$2,161.67	$5,308.46	$13,163.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,468.90 / $6,390.84 / $10,308.20	Facility		$5,468.90	$6,390.84	$10,308.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,703.47 / $6,618.74 / $8,760.48	Professional		$3,703.47	$6,618.74	$8,760.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,144.11 / $3,407.90 / $5,376.00	Facility		$2,144.11	$3,407.90	$5,376.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,339.03 / $3,583.00 / $7,700.00	Facility		$2,339.03	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,601.67 / $6,523.38 / $12,694.11	Professional		$2,601.67	$6,523.38	$12,694.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,524.54 / $4,776.12	Professional		$138.70	$1,524.54	$4,776.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,144.11 / $3,407.90 / $5,376.00	Facility		$2,144.11	$3,407.90	$5,376.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,416.10 / $6,819.14 / $8,898.58	Professional		$4,416.10	$6,819.14	$8,898.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67,582.06 / $67,582.06 / $67,582.06	Facility		$67,582.06	$67,582.06	$67,582.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,799.40 / $10,764.65 / $30,682.00	Professional		$3,799.40	$10,764.65	$30,682.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,202.28 / $11,202.28 / $11,202.28	Professional		$11,202.28	$11,202.28	$11,202.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,159.32 / $14,831.56 / $14,831.56	Professional		$10,159.32	$14,831.56	$14,831.56
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 $2,601.67 / $7,620.32 / $10,559.12	Professional		$2,601.67	$7,620.32	$10,559.12