Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.70 / $2,849.26 / $14,482.00	Facility		$1,674.70	$2,849.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.72 / $1,674.70 / $4,903.81	Professional		$1,106.72	$1,674.70	$4,903.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.14 / $3,697.60 / $8,229.23	Professional		$1,380.14	$3,697.60	$8,229.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,565.73 / $4,166.84 / $6,720.96	Facility		$3,565.73	$4,166.84	$6,720.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,406.04 / $4,246.63 / $5,698.05	Professional		$2,406.04	$4,246.63	$5,698.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,392.97 / $1,932.20 / $3,027.51	Facility		$1,392.97	$1,932.20	$3,027.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,598.40 / $2,767.95 / $7,700.00	Facility		$1,598.40	$2,767.95	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,650.20 / $4,492.32 / $9,732.50	Professional		$1,650.20	$4,492.32	$9,732.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.89 / $911.40 / $2,932.40	Professional		$139.89	$911.40	$2,932.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,392.97 / $1,932.20 / $3,027.51	Facility		$1,392.97	$1,932.20	$3,027.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,847.65 / $4,381.00 / $5,526.61	Professional		$2,847.65	$4,381.00	$5,526.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,817.28 / $26,817.28 / $26,817.28	Facility		$26,817.28	$26,817.28	$26,817.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,462.76 / $6,857.35 / $10,799.88	Professional		$2,462.76	$6,857.35	$10,799.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,389.48 / $3,389.48 / $3,389.48	Professional		$3,389.48	$3,389.48	$3,389.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,231.70 / $8,287.70 / $8,287.70	Professional		$3,231.70	$8,287.70	$8,287.70
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 $1,650.20 / $4,197.06 / $6,130.47	Professional		$1,650.20	$4,197.06	$6,130.47