Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,117.13 / $5,000.27 / $14,482.00	Facility		$3,117.13	$5,000.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,716.10 / $3,117.13 / $8,795.91	Professional		$1,716.10	$3,117.13	$8,795.91
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 $2,464.53 / $6,034.79 / $15,027.69	Professional		$2,464.53	$6,034.79	$15,027.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,229.44 / $7,279.60 / $11,741.73	Facility		$6,229.44	$7,279.60	$11,741.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,222.43 / $7,526.68 / $10,007.86	Professional		$4,222.43	$7,526.68	$10,007.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,444.57 / $3,454.00 / $4,778.03	Facility		$2,444.57	$3,454.00	$4,778.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,839.00 / $7,700.00	Facility		$2,429.00	$3,839.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,595.96 / $7,507.52 / $14,609.19	Professional		$2,595.96	$7,507.52	$14,609.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $1,749.25 / $5,399.75	Professional		$145.66	$1,749.25	$5,399.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,444.57 / $3,454.00 / $4,778.03	Facility		$2,444.57	$3,454.00	$4,778.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,994.60 / $7,712.43 / $10,119.26	Professional		$4,994.60	$7,712.43	$10,119.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61,750.08 / $61,750.08 / $61,750.08	Facility		$61,750.08	$61,750.08	$61,750.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,320.58 / $12,388.65 / $18,490.64	Professional		$4,320.58	$12,388.65	$18,490.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,789.17 / $12,789.17 / $12,789.17	Professional		$12,789.17	$12,789.17	$12,789.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,353.94 / $16,866.00 / $16,866.00	Professional		$11,353.94	$16,866.00	$16,866.00
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 $2,749.98 / $7,912.84 / $12,066.71	Professional		$2,749.98	$7,912.84	$12,066.71