Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.19 / $2,672.98 / $14,482.00	Facility		$1,652.19	$2,672.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.08 / $1,559.56 / $4,658.26	Professional		$907.08	$1,559.56	$4,658.26
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 $1,299.18 / $3,205.83 / $7,984.70	Professional		$1,299.18	$3,205.83	$7,984.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.78 / $3,932.01 / $6,342.20	Facility		$3,364.78	$3,932.01	$6,342.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,257.17 / $4,053.73 / $5,363.62	Professional		$2,257.17	$4,053.73	$5,363.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,306.79 / $2,062.17 / $4,725.00	Facility		$1,306.79	$2,062.17	$4,725.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,499.99 / $2,803.00 / $7,739.55	Facility		$1,499.99	$2,803.00	$7,739.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,562.96 / $3,932.55 / $7,652.50	Professional		$1,562.96	$3,932.55	$7,652.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $939.62 / $2,915.83	Professional		$85.00	$939.62	$2,915.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,306.79 / $2,062.17 / $4,725.00	Facility		$1,306.79	$2,062.17	$4,725.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,671.50 / $4,125.21 / $5,450.05	Professional		$2,671.50	$4,125.21	$5,450.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,276.81 / $33,276.81 / $33,276.81	Facility		$33,276.81	$33,276.81	$33,276.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,326.98 / $6,489.35 / $13,125.00	Professional		$2,326.98	$6,489.35	$13,125.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,795.34 / $6,795.34 / $6,795.34	Professional		$6,795.34	$6,795.34	$6,795.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,069.44 / $9,083.74 / $9,083.74	Professional		$6,069.44	$9,083.74	$9,083.74
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 $1,557.44 / $3,945.48 / $6,365.31	Professional		$1,557.44	$3,945.48	$6,365.31