Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,172.56 / $3,523.39 / $14,482.00	Facility		$2,172.56	$3,523.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.75 / $2,172.56 / $6,135.28	Professional		$1,192.75	$2,172.56	$6,135.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.96 / $4,226.74 / $10,502.13	Professional		$1,698.96	$4,226.74	$10,502.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,403.77 / $5,146.16 / $8,300.57	Facility		$4,403.77	$5,146.16	$8,300.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,975.31 / $5,310.14 / $7,209.02	Professional		$2,975.31	$5,310.14	$7,209.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,722.55 / $2,716.66 / $4,132.24	Facility		$1,722.55	$2,716.66	$4,132.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,981.68 / $3,366.79 / $7,700.00	Facility		$1,981.68	$3,366.79	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,085.65 / $5,242.00 / $10,075.01	Professional		$2,085.65	$5,242.00	$10,075.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,230.59 / $3,825.57	Professional		$112.28	$1,230.59	$3,825.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,722.55 / $2,716.66 / $4,132.24	Facility		$1,722.55	$2,716.66	$4,132.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,530.80 / $5,452.10 / $7,139.22	Professional		$3,530.80	$5,452.10	$7,139.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54,044.64 / $54,044.64 / $54,044.64	Facility		$54,044.64	$54,044.64	$54,044.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,048.22 / $8,543.65 / $22,475.32	Professional		$3,048.22	$8,543.65	$22,475.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,937.74 / $8,937.74 / $8,937.74	Professional		$8,937.74	$8,937.74	$8,937.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,000.44 / $11,899.18 / $11,899.18	Professional		$8,000.44	$11,899.18	$11,899.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,059.34 / $5,211.22 / $8,389.87	Professional		$2,059.34	$5,211.22	$8,389.87