Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,731.44 / $2,806.54 / $14,482.00	Facility		$1,731.44	$2,806.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.55 / $1,731.44 / $4,916.27	Professional		$965.55	$1,731.44	$4,916.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $14,839.00 / $22,440.00	Facility		$8,712.00	$14,839.00	$22,440.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,361.64 / $3,358.72 / $8,358.35	Professional		$1,361.64	$3,358.72	$8,358.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,500.85 / $4,091.02 / $6,598.67	Facility		$3,500.85	$4,091.02	$6,598.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,369.96 / $4,219.62 / $5,631.22	Professional		$2,369.96	$4,219.62	$5,631.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,372.09 / $1,948.68 / $2,681.80	Facility		$1,372.09	$1,948.68	$2,681.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,570.85 / $2,721.88 / $7,700.00	Facility		$1,570.85	$2,721.88	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,671.25 / $4,116.38 / $8,010.22	Professional		$1,671.25	$4,116.38	$8,010.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $967.11 / $3,041.63	Professional		$85.00	$967.11	$3,041.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,372.09 / $1,948.68 / $2,681.80	Facility		$1,372.09	$1,948.68	$2,681.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,795.65 / $4,316.91 / $5,673.08	Professional		$2,795.65	$4,316.91	$5,673.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,324.00 / $26,324.00 / $26,324.00	Facility		$26,324.00	$26,324.00	$26,324.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,422.21 / $6,792.70 / $10,343.44	Professional		$2,422.21	$6,792.70	$10,343.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,113.32 / $7,113.32 / $7,113.32	Professional		$7,113.32	$7,113.32	$7,113.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,372.71 / $9,455.45 / $9,455.45	Professional		$6,372.71	$9,455.45	$9,455.45
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 $1,418.68 / $4,074.98 / $6,695.58	Professional		$1,418.68	$4,074.98	$6,695.58