Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,097.77 / $6,620.96 / $14,482.00	Facility		$4,097.77	$6,620.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,267.82 / $4,097.77 / $11,551.10	Professional		$2,267.82	$4,097.77	$11,551.10
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 $3,262.78 / $7,339.30 / $19,273.90	Professional		$3,262.78	$7,339.30	$19,273.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,254.26 / $9,645.75 / $15,558.26	Facility		$8,254.26	$9,645.75	$15,558.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,591.04 / $9,988.35 / $13,229.20	Professional		$5,591.04	$9,988.35	$13,229.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,236.92 / $4,567.89 / $6,394.29	Facility		$3,236.92	$4,567.89	$6,394.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,678.00 / $4,567.89 / $7,868.00	Facility		$2,678.00	$4,567.89	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,925.99 / $10,747.47 / $18,238.14	Professional		$3,925.99	$10,747.47	$18,238.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $2,313.71 / $7,229.56	Professional		$215.11	$2,313.71	$7,229.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,236.92 / $4,567.89 / $6,394.29	Facility		$3,236.92	$4,567.89	$6,394.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,665.75 / $10,292.94 / $13,428.85	Professional		$6,665.75	$10,292.94	$13,428.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101,979.80 / $101,979.80 / $101,979.80	Facility		$101,979.80	$101,979.80	$101,979.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,733.67 / $16,242.10 / $24,605.76	Professional		$5,733.67	$16,242.10	$24,605.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,893.32 / $16,893.32 / $16,893.32	Professional		$16,893.32	$16,893.32	$16,893.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,034.00 / $22,382.26 / $22,382.26	Professional		$15,034.00	$22,382.26	$22,382.26
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 $3,925.99 / $10,557.88 / $15,925.80	Professional		$3,925.99	$10,557.88	$15,925.80