Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.34 / $2,622.98 / $14,482.00	Facility		$1,615.34	$2,622.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.33 / $1,615.34 / $4,576.26	Professional		$890.33	$1,615.34	$4,576.26
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 $1,269.70 / $3,131.59 / $7,823.73	Professional		$1,269.70	$3,131.59	$7,823.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,287.29 / $3,841.45 / $6,196.13	Facility		$3,287.29	$3,841.45	$6,196.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,214.96 / $3,957.58 / $5,267.22	Professional		$2,214.96	$3,957.58	$5,267.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,282.34 / $2,016.86 / $2,793.62	Facility		$1,282.34	$2,016.86	$2,793.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,470.55 / $2,803.00 / $7,868.00	Facility		$1,470.55	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,519.45 / $3,823.34 / $7,130.03	Professional		$1,519.45	$3,823.34	$7,130.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $910.39 / $2,839.28	Professional		$85.00	$910.39	$2,839.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,282.34 / $2,016.86 / $2,793.62	Facility		$1,282.34	$2,016.86	$2,793.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,618.85 / $4,043.91 / $5,320.78	Professional		$2,618.85	$4,043.91	$5,320.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,723.52 / $24,723.52 / $24,723.52	Facility		$24,723.52	$24,723.52	$24,723.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,271.79 / $6,309.15 / $11,930.40	Professional		$2,271.79	$6,309.15	$11,930.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,658.34 / $6,658.34 / $6,658.34	Professional		$6,658.34	$6,658.34	$6,658.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,955.92 / $8,868.25 / $8,868.25	Professional		$5,955.92	$8,868.25	$8,868.25
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 $1,519.45 / $4,454.26 / $6,457.94	Professional		$1,519.45	$4,454.26	$6,457.94