Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,416.33 / $2,297.61 / $14,482.00	Facility		$1,416.33	$2,297.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.26 / $1,416.33 / $3,999.88	Professional		$789.26	$1,416.33	$3,999.88
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 $1,109.98 / $2,742.93 / $6,834.15	Professional		$1,109.98	$2,742.93	$6,834.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,867.36 / $3,350.74 / $5,404.63	Facility		$2,867.36	$3,350.74	$5,404.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.21 / $3,452.69 / $4,644.25	Professional		$1,940.21	$3,452.69	$4,644.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,123.28 / $1,766.88 / $2,418.83	Facility		$1,123.28	$1,766.88	$2,418.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,284.24 / $2,803.00 / $7,700.00	Facility		$1,284.24	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,359.73 / $3,434.46 / $6,537.35	Professional		$1,359.73	$3,434.46	$6,537.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $795.60 / $2,473.38	Professional		$61.84	$795.60	$2,473.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,123.28 / $1,766.88 / $2,418.83	Facility		$1,123.28	$1,766.88	$2,418.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,285.40 / $3,529.01 / $4,641.97	Professional		$2,285.40	$3,529.01	$4,641.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,516.64 / $21,516.64 / $21,516.64	Facility		$21,516.64	$21,516.64	$21,516.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,981.96 / $5,543.70 / $11,761.00	Professional		$1,981.96	$5,543.70	$11,761.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,816.15 / $5,816.15 / $5,816.15	Professional		$5,816.15	$5,816.15	$5,816.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,217.10 / $7,736.87 / $7,736.87	Professional		$5,217.10	$7,736.87	$7,736.87
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 $1,335.00 / $3,649.15 / $5,465.26	Professional		$1,335.00	$3,649.15	$5,465.26