Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,130.07 / $4,754.89 / $14,482.00	Facility		$2,130.07	$4,754.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.07 / $2,525.17 / $8,981.48	Professional		$2,130.07	$2,525.17	$8,981.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,267.11 / $5,151.46 / $13,141.65	Professional		$2,267.11	$5,151.46	$13,141.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,958.21 / $6,962.63 / $10,680.86	Facility		$5,958.21	$6,962.63	$10,680.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,530.09 / $8,944.95 / $10,164.70	Professional		$3,530.09	$8,944.95	$10,164.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,130.07 / $2,964.59 / $5,250.00	Facility		$2,130.07	$2,964.59	$5,250.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,130.07 / $3,195.11 / $6,235.00	Facility		$2,130.07	$3,195.11	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,508.85 / $4,499.04 / $17,672.88	Professional		$2,508.85	$4,499.04	$17,672.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $1,545.98 / $4,964.50	Professional		$239.28	$1,545.98	$4,964.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,130.07 / $2,837.63 / $5,250.00	Facility		$2,130.07	$2,837.63	$5,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,964.70 / $6,049.30 / $9,030.41	Professional		$4,964.70	$6,049.30	$9,030.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46,046.72 / $46,046.72 / $46,046.72	Facility		$46,046.72	$46,046.72	$46,046.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,493.87 / $11,191.65 / $17,672.88	Professional		$4,493.87	$11,191.65	$17,672.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,019.63 / $8,019.63 / $8,019.63	Professional		$8,019.63	$8,019.63	$8,019.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,397.71 / $11,814.15 / $13,394.18	Professional		$7,397.71	$11,814.15	$13,394.18
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 $2,492.89 / $4,110.02 / $10,139.62	Professional		$2,492.89	$4,110.02	$10,139.62