Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.76 / $2,637.56 / $14,482.00	Facility		$1,626.76	$2,637.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.39 / $1,626.76 / $4,623.24	Professional		$907.39	$1,626.76	$4,623.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,283.85 / $3,154.23 / $7,850.15	Professional		$1,283.85	$3,154.23	$7,850.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,291.79 / $3,846.72 / $6,204.62	Facility		$3,291.79	$3,846.72	$6,204.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,227.27 / $3,965.56 / $5,294.56	Professional		$2,227.27	$3,965.56	$5,294.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,289.48 / $2,030.54 / $2,835.26	Facility		$1,289.48	$2,030.54	$2,835.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,475.55 / $2,803.00 / $7,700.00	Facility		$1,475.55	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,543.59 / $3,865.07 / $7,521.19	Professional		$1,543.59	$3,865.07	$7,521.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,165.12 / $2,944.41	Professional		$85.00	$1,165.12	$2,944.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,289.48 / $2,030.54 / $2,835.26	Facility		$1,289.48	$2,030.54	$2,835.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,626.00 / $4,054.95 / $5,331.50	Professional		$2,626.00	$4,054.95	$5,331.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,728.80 / $24,728.80 / $24,728.80	Facility		$24,728.80	$24,728.80	$24,728.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,276.37 / $6,378.00 / $12,548.98	Professional		$2,276.37	$6,378.00	$12,548.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,680.81 / $6,680.81 / $6,680.81	Professional		$6,680.81	$6,680.81	$6,680.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,989.03 / $8,886.19 / $8,886.19	Professional		$5,989.03	$8,886.19	$8,886.19
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 $1,536.68 / $4,191.34 / $7,197.68	Professional		$1,536.68	$4,191.34	$7,197.68