Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.92 / $4,674.72 / $14,482.00	Facility		$2,093.92	$4,674.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,093.92 / $2,374.94 / $8,830.04	Professional		$2,093.92	$2,374.94	$8,830.04
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 $2,199.44 / $4,813.56 / $12,521.95	Professional		$2,199.44	$4,813.56	$12,521.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,857.28 / $6,844.70 / $10,499.94	Facility		$5,857.28	$6,844.70	$10,499.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,456.82 / $8,792.62 / $9,991.61	Professional		$3,456.82	$8,792.62	$9,991.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,093.92 / $2,840.78 / $5,037.79	Facility		$2,093.92	$2,840.78	$5,037.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,093.92 / $3,140.90 / $6,235.00	Facility		$2,093.92	$3,140.90	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,560.64 / $4,359.09 / $17,369.36	Professional		$2,560.64	$4,359.09	$17,369.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $1,549.50 / $4,953.50	Professional		$239.28	$1,549.50	$4,953.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,093.92 / $2,788.68 / $5,037.79	Facility		$2,093.92	$2,788.68	$5,037.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,880.85 / $5,947.13 / $8,877.89	Professional		$4,880.85	$5,947.13	$8,877.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45,252.64 / $45,252.64 / $45,252.64	Facility		$45,252.64	$45,252.64	$45,252.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,417.35 / $10,998.40 / $17,369.36	Professional		$4,417.35	$10,998.40	$17,369.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,882.24 / $7,882.24 / $7,882.24	Professional		$7,882.24	$7,882.24	$7,882.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,512.12 / $11,071.98 / $13,166.15	Professional		$6,512.12	$11,071.98	$13,166.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,560.64 / $4,767.14 / $9,964.54	Professional		$2,560.64	$4,767.14	$9,964.54