Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.98 / $2,222.98 / $14,482.00	Facility		$1,302.98	$2,222.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.65 / $1,302.98 / $3,791.29	Professional		$942.65	$1,302.98	$3,791.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.38 / $2,966.79 / $6,367.82	Professional		$1,063.38	$2,966.79	$6,367.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,788.07 / $3,258.07 / $5,255.16	Facility		$2,788.07	$3,258.07	$5,255.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.19 / $3,310.60 / $4,458.22	Professional		$1,877.19	$3,310.60	$4,458.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,086.79 / $1,470.00 / $2,124.17	Facility		$1,086.79	$1,470.00	$2,124.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,239.74 / $2,203.00 / $7,700.00	Facility		$1,239.74	$2,203.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,274.33 / $3,430.89 / $7,530.98	Professional		$1,274.33	$3,430.89	$7,530.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $705.27 / $2,305.36	Professional		$95.26	$705.27	$2,305.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,086.79 / $1,470.00 / $2,124.17	Facility		$1,086.79	$1,470.00	$2,124.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,213.90 / $3,406.00 / $4,328.12	Professional		$2,213.90	$3,406.00	$4,328.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,854.88 / $20,854.88 / $20,854.88	Facility		$20,854.88	$20,854.88	$20,854.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,919.93 / $5,306.20 / $8,173.68	Professional		$1,919.93	$5,306.20	$8,173.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,632.62 / $2,632.62 / $2,632.62	Professional		$2,632.62	$2,632.62	$2,632.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,521.35 / $6,461.00 / $6,461.00	Professional		$2,521.35	$6,461.00	$6,461.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,273.49 / $2,722.23 / $4,743.74	Professional		$1,273.49	$2,722.23	$4,743.74