Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.85 / $3,461.26 / $14,482.00	Facility		$2,138.85	$3,461.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.34 / $2,138.85 / $6,044.45	Professional		$1,185.34	$2,138.85	$6,044.45
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 $1,693.75 / $4,170.63 / $10,353.12	Professional		$1,693.75	$4,170.63	$10,353.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,321.77 / $5,050.33 / $8,146.01	Facility		$4,321.77	$5,050.33	$8,146.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,922.84 / $5,218.16 / $7,098.45	Professional		$2,922.84	$5,218.16	$7,098.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,692.17 / $2,677.83 / $4,502.13	Facility		$1,692.17	$2,677.83	$4,502.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,950.44 / $3,364.00 / $7,700.00	Facility		$1,950.44	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,035.63 / $5,132.79 / $9,949.01	Professional		$2,035.63	$5,132.79	$9,949.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,229.08 / $3,735.56	Professional		$112.28	$1,229.08	$3,735.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,692.17 / $2,677.83 / $4,502.13	Facility		$1,692.17	$2,677.83	$4,502.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,475.55 / $5,366.78 / $7,015.56	Professional		$3,475.55	$5,366.78	$7,015.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,168.18 / $53,168.18 / $53,168.18	Facility		$53,168.18	$53,168.18	$53,168.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,995.42 / $8,436.79 / $24,074.39	Professional		$2,995.42	$8,436.79	$24,074.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,810.95 / $8,810.95 / $8,810.95	Professional		$8,810.95	$8,810.95	$8,810.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,608.12 / $11,693.03 / $11,693.03	Professional		$6,608.12	$11,693.03	$11,693.03
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 $2,035.63 / $5,132.79 / $8,275.04	Professional		$2,035.63	$5,132.79	$8,275.04