Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,793.08 / $6,130.15 / $14,482.00	Facility		$3,793.08	$6,130.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,106.60 / $3,793.08 / $10,692.70	Professional		$2,106.60	$3,793.08	$10,692.70
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 $3,019.01 / $7,408.04 / $18,375.59	Professional		$3,019.01	$7,408.04	$18,375.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,642.40 / $8,930.75 / $14,404.98	Facility		$7,642.40	$8,930.75	$14,404.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,176.57 / $9,246.70 / $12,249.42	Professional		$5,176.57	$9,246.70	$12,249.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,996.96 / $4,226.60 / $5,921.40	Facility		$2,996.96	$4,226.60	$5,921.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,226.60 / $7,868.00	Facility		$2,678.00	$4,226.60	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,631.86 / $9,948.58 / $16,882.43	Professional		$3,631.86	$9,948.58	$16,882.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $2,124.58 / $6,704.83	Professional		$171.04	$2,124.58	$6,704.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,996.96 / $4,226.60 / $5,921.40	Facility		$2,996.96	$4,226.60	$5,921.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,169.15 / $9,526.12 / $12,431.74	Professional		$6,169.15	$9,526.12	$12,431.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94,380.52 / $94,380.52 / $94,380.52	Facility		$94,380.52	$94,380.52	$94,380.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,307.93 / $15,028.10 / $22,773.84	Professional		$5,307.93	$15,028.10	$22,773.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,638.41 / $15,638.41 / $15,638.41	Professional		$15,638.41	$15,638.41	$15,638.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,919.52 / $20,720.30 / $20,720.30	Professional		$13,919.52	$20,720.30	$20,720.30
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 $3,631.86 / $9,107.03 / $14,741.98	Professional		$3,631.86	$9,107.03	$14,741.98