Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.12 / $2,382.32 / $14,482.00	Facility		$1,401.12	$2,382.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.89 / $1,401.12 / $4,111.92	Professional		$927.89	$1,401.12	$4,111.92
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 $1,149.82 / $3,217.88 / $6,895.16	Professional		$1,149.82	$3,217.88	$6,895.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,980.00 / $3,482.37 / $5,616.94	Facility		$2,980.00	$3,482.37	$5,616.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,011.75 / $3,550.43 / $4,761.74	Professional		$2,011.75	$3,550.43	$4,761.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,164.69 / $1,470.00 / $2,276.44	Facility		$1,164.69	$1,470.00	$2,276.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,337.48 / $2,312.96 / $7,700.00	Facility		$1,337.48	$2,312.96	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,383.25 / $3,806.25 / $8,154.76	Professional		$1,383.25	$3,806.25	$8,154.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $766.59 / $2,395.28	Professional		$107.18	$766.59	$2,395.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,270.57 / $1,470.00 / $2,276.44	Facility		$1,270.57	$1,470.00	$2,276.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,382.90 / $3,666.00 / $4,682.59	Professional		$2,382.90	$3,666.00	$4,682.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,224.57 / $18,224.57 / $18,224.57	Facility		$18,224.57	$18,224.57	$18,224.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,059.00 / $5,745.70 / $8,792.95	Professional		$2,059.00	$5,745.70	$8,792.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,835.48 / $2,835.48 / $2,835.48	Professional		$2,835.48	$2,835.48	$2,835.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,702.08 / $6,929.00 / $6,929.00	Professional		$2,702.08	$6,929.00	$6,929.00
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 $1,383.25 / $4,046.93 / $5,136.66	Professional		$1,383.25	$4,046.93	$5,136.66