Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,915.22 / $7,948.78 / $14,482.00	Facility		$4,915.22	$7,948.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,732.93 / $4,915.22 / $13,960.80	Professional		$2,732.93	$4,915.22	$13,960.80
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 $3,963.77 / $9,667.25 / $23,814.88	Professional		$3,963.77	$9,667.25	$23,814.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,900.61 / $11,569.64 / $18,661.41	Facility		$9,900.61	$11,569.64	$18,661.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,712.30 / $11,975.51 / $15,886.55	Professional		$6,712.30	$11,975.51	$15,886.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,532.79 / $4,915.22 / $7,595.50	Facility		$3,532.79	$4,915.22	$7,595.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $4,480.54 / $7,868.00	Facility		$2,553.00	$4,480.54	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,061.00 / $9,047.29 / $23,132.97	Professional		$3,061.00	$9,047.29	$23,132.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.22 / $2,793.30 / $8,697.09	Professional		$234.22	$2,793.30	$8,697.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,532.79 / $4,915.22 / $7,595.50	Facility		$3,532.79	$4,915.22	$7,595.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,980.70 / $12,323.43 / $16,100.50	Professional		$7,980.70	$12,323.43	$16,100.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $121,891.64 / $121,891.64 / $121,891.64	Facility		$121,891.64	$121,891.64	$121,891.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,874.38 / $19,616.84 / $29,461.92	Professional		$6,874.38	$19,616.84	$29,461.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20,267.47 / $20,267.47 / $20,267.47	Professional		$20,267.47	$20,267.47	$20,267.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,049.02 / $26,835.16 / $26,835.16	Professional		$18,049.02	$26,835.16	$26,835.16
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 $3,958.50 / $11,887.81 / $17,459.00	Professional		$3,958.50	$11,887.81	$17,459.00