Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.43 / $2,265.19 / $14,482.00	Facility		$1,395.43	$2,265.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.81 / $1,395.43 / $3,921.94	Professional		$786.81	$1,395.43	$3,921.94
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 $1,098.83 / $2,700.77 / $6,728.86	Professional		$1,098.83	$2,700.77	$6,728.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,827.71 / $3,304.41 / $5,329.89	Facility		$2,827.71	$3,304.41	$5,329.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,912.82 / $3,402.84 / $4,552.17	Professional		$1,912.82	$3,402.84	$4,552.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,107.43 / $1,740.26 / $2,419.98	Facility		$1,107.43	$1,740.26	$2,419.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,265.59 / $2,553.00 / $7,700.00	Facility		$1,265.59	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,333.24 / $3,307.34 / $6,435.88	Professional		$1,333.24	$3,307.34	$6,435.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $777.98 / $2,424.17	Professional		$61.84	$777.98	$2,424.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,107.43 / $1,740.26 / $2,419.98	Facility		$1,107.43	$1,740.26	$2,419.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,252.25 / $3,477.82 / $4,574.96	Professional		$2,252.25	$3,477.82	$4,574.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,195.68 / $21,195.68 / $21,195.68	Facility		$21,195.68	$21,195.68	$21,195.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,953.35 / $5,457.65 / $10,227.00	Professional		$1,953.35	$5,457.65	$10,227.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,726.52 / $5,726.52 / $5,726.52	Professional		$5,726.52	$5,726.52	$5,726.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,143.49 / $7,625.20 / $7,625.20	Professional		$5,143.49	$7,625.20	$7,625.20
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 $1,313.81 / $3,343.38 / $5,380.86	Professional		$1,313.81	$3,343.38	$5,380.86