Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.72 / $2,294.82 / $14,482.00	Facility		$1,370.72	$2,294.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.09 / $1,370.72 / $3,704.13	Professional		$839.09	$1,370.72	$3,704.13
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 $1,043.10 / $2,920.55 / $6,613.32	Professional		$1,043.10	$2,920.55	$6,613.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,952.07 / $3,449.73 / $5,564.29	Facility		$2,952.07	$3,449.73	$5,564.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,519.68 / $3,452.64 / $4,670.10	Professional		$1,519.68	$3,452.64	$4,670.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,121.91 / $1,603.74 / $2,192.83	Facility		$1,121.91	$1,603.74	$2,192.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,223.90 / $5,266.00 / $15,126.00	Facility		$1,223.90	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,245.16 / $3,294.82 / $7,469.95	Professional		$1,245.16	$3,294.82	$7,469.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $697.89 / $2,283.01	Professional		$85.00	$697.89	$2,283.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,223.90 / $1,603.74 / $2,192.83	Facility		$1,223.90	$1,603.74	$2,192.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,189.19 / $3,368.00 / $4,137.08	Professional		$2,189.19	$3,368.00	$4,137.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,497.10 / $23,497.10 / $23,497.10	Facility		$23,497.10	$23,497.10	$23,497.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,570.23 / $5,263.20 / $8,358.56	Professional		$1,570.23	$5,263.20	$8,358.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,753.18 / $2,753.18 / $2,753.18	Professional		$2,753.18	$2,753.18	$2,753.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.84 / $6,738.16 / $6,738.16	Professional		$2,602.84	$6,738.16	$6,738.16
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,245.16 / $3,170.10 / $4,705.30	Professional		$1,245.16	$3,170.10	$4,705.30