Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.05 / $2,445.71 / $14,482.00	Facility		$1,443.05	$2,445.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.66 / $1,443.05 / $3,997.02	Professional		$898.66	$1,443.05	$3,997.02
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 $1,150.64 / $3,127.32 / $6,883.13	Professional		$1,150.64	$3,127.32	$6,883.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,089.94 / $3,610.84 / $5,824.16	Facility		$3,089.94	$3,610.84	$5,824.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.60 / $3,651.60 / $4,927.81	Professional		$1,619.60	$3,651.60	$4,927.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,195.68 / $1,688.37 / $2,625.00	Facility		$1,195.68	$1,688.37	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,326.26 / $2,625.00 / $7,700.00	Facility		$1,326.26	$2,625.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,358.76 / $3,725.79 / $8,140.21	Professional		$1,358.76	$3,725.79	$8,140.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $739.10 / $2,383.37	Professional		$95.64	$739.10	$2,383.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,304.38 / $1,761.02 / $2,625.00	Facility		$1,304.38	$1,761.02	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,346.50 / $3,616.89 / $4,623.10	Professional		$2,346.50	$3,616.89	$4,623.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,640.85 / $26,640.85 / $26,640.85	Facility		$26,640.85	$26,640.85	$26,640.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,660.71 / $5,735.45 / $9,848.32	Professional		$1,660.71	$5,735.45	$9,848.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,812.99 / $2,812.99 / $2,812.99	Professional		$2,812.99	$2,812.99	$2,812.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,773.97 / $7,126.47 / $7,126.47	Professional		$2,773.97	$7,126.47	$7,126.47
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 $1,279.34 / $3,494.38 / $5,127.49	Professional		$1,279.34	$3,494.38	$5,127.49