Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.67 / $2,508.30 / $14,482.00	Facility		$1,505.67	$2,508.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.36 / $1,505.67 / $3,509.00	Professional		$795.36	$1,505.67	$3,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.72 / $3,266.37 / $7,298.66	Professional		$1,047.72	$3,266.37	$7,298.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.76 / $3,815.13 / $6,153.67	Facility		$3,264.76	$3,815.13	$6,153.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,661.05 / $3,779.50 / $5,158.31	Professional		$1,661.05	$3,779.50	$5,158.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,226.28 / $1,505.67 / $2,396.82	Facility		$1,226.28	$1,505.67	$2,396.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,337.76 / $4,103.00 / $8,783.00	Facility		$1,337.76	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,239.32 / $3,163.06 / $8,181.30	Professional		$1,239.32	$3,163.06	$8,181.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $738.99 / $2,508.92	Professional		$95.42	$738.99	$2,508.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,226.28 / $1,505.67 / $2,396.82	Facility		$1,226.28	$1,505.67	$2,396.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,393.30 / $3,682.00 / $4,353.22	Professional		$2,393.30	$3,682.00	$4,353.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,718.88 / $5,764.40 / $9,086.08	Professional		$1,718.88	$5,764.40	$9,086.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,038.49 / $3,038.49 / $3,038.49	Professional		$3,038.49	$3,038.49	$3,038.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,429.44 / $7,376.07 / $7,376.07	Professional		$2,429.44	$7,376.07	$7,376.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.39 / $3,181.82 / $5,116.68	Professional		$1,180.39	$3,181.82	$5,116.68