Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.00 / $2,553.82 / $14,482.00	Facility		$1,505.00	$2,553.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.44 / $1,505.00 / $4,419.88	Professional		$996.44	$1,505.00	$4,419.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.47 / $3,459.29 / $7,430.38	Professional		$1,239.47	$3,459.29	$7,430.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,191.77 / $3,729.83 / $6,016.09	Facility		$3,191.77	$3,729.83	$6,016.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,691.20 / $3,809.16 / $5,096.75	Professional		$1,691.20	$3,809.16	$5,096.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,248.53 / $1,760.85 / $2,625.00	Facility		$1,248.53	$1,760.85	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,436.28 / $2,625.00 / $7,700.00	Facility		$1,436.28	$2,625.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,492.40 / $4,097.71 / $8,787.83	Professional		$1,492.40	$4,097.71	$8,787.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $832.20 / $2,678.86	Professional		$107.18	$832.20	$2,678.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,248.53 / $1,760.85 / $2,625.00	Facility		$1,248.53	$1,760.85	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,559.05 / $3,943.93 / $5,041.14	Professional		$2,559.05	$3,943.93	$5,041.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,616.66 / $28,616.66 / $28,616.66	Facility		$28,616.66	$28,616.66	$28,616.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,732.36 / $6,191.75 / $9,447.36	Professional		$1,732.36	$6,191.75	$9,447.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,048.92 / $3,048.92 / $3,048.92	Professional		$3,048.92	$3,048.92	$3,048.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,901.56 / $7,433.92 / $7,433.92	Professional		$2,901.56	$7,433.92	$7,433.92
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 $1,492.40 / $3,772.86 / $5,535.42	Professional		$1,492.40	$3,772.86	$5,535.42