Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,683.01 / $4,336.63 / $14,482.00	Facility		$2,683.01	$4,336.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.62 / $2,683.01 / $7,597.44	Professional		$1,478.62	$2,683.01	$7,597.44
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 $2,129.03 / $5,237.56 / $12,994.72	Professional		$2,129.03	$5,237.56	$12,994.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,412.13 / $6,324.50 / $10,201.19	Facility		$5,412.13	$6,324.50	$10,201.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,662.04 / $6,542.75 / $8,683.99	Professional		$3,662.04	$6,542.75	$8,683.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,120.13 / $3,362.46 / $4,755.93	Facility		$2,120.13	$3,362.46	$4,755.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,312.87 / $3,583.00 / $7,700.00	Facility		$2,312.87	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,582.69 / $6,426.48 / $12,505.55	Professional		$2,582.69	$6,426.48	$12,505.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,531.19 / $4,779.24	Professional		$138.70	$1,531.19	$4,779.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,120.13 / $3,362.46 / $4,755.93	Facility		$2,120.13	$3,362.46	$4,755.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,360.20 / $6,732.82 / $8,796.40	Professional		$4,360.20	$6,732.82	$8,796.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66,744.08 / $66,744.08 / $66,744.08	Facility		$66,744.08	$66,744.08	$66,744.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,755.77 / $10,604.75 / $23,267.00	Professional		$3,755.77	$10,604.75	$23,267.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,059.05 / $11,059.05 / $11,059.05	Professional		$11,059.05	$11,059.05	$11,059.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,105.50 / $14,661.23 / $14,661.23	Professional		$7,105.50	$14,661.23	$14,661.23
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 $2,560.92 / $6,475.36 / $10,399.91	Professional		$2,560.92	$6,475.36	$10,399.91