Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.44 / $2,796.41 / $14,482.00	Facility		$1,725.44	$2,796.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.55 / $1,725.44 / $4,914.14	Professional		$970.55	$1,725.44	$4,914.14
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 $1,364.99 / $3,346.21 / $8,328.62	Professional		$1,364.99	$3,346.21	$8,328.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,488.24 / $4,076.28 / $6,574.89	Facility		$3,488.24	$4,076.28	$6,574.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.42 / $4,204.66 / $5,611.08	Professional		$2,361.42	$4,204.66	$5,611.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,367.14 / $2,154.40 / $3,027.10	Facility		$1,367.14	$2,154.40	$3,027.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,565.03 / $2,803.00 / $7,700.00	Facility		$1,565.03	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,631.34 / $4,102.26 / $7,982.75	Professional		$1,631.34	$4,102.26	$7,982.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $967.11 / $2,992.37	Professional		$85.00	$967.11	$2,992.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,367.14 / $2,154.40 / $3,027.10	Facility		$1,367.14	$2,154.40	$3,027.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,785.25 / $4,300.85 / $5,652.97	Professional		$2,785.25	$4,300.85	$5,652.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,231.20 / $26,231.20 / $26,231.20	Facility		$26,231.20	$26,231.20	$26,231.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,413.63 / $6,769.40 / $13,636.00	Professional		$2,413.63	$6,769.40	$13,636.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,087.99 / $7,087.99 / $7,087.99	Professional		$7,087.99	$7,087.99	$7,087.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,349.72 / $9,421.98 / $9,421.98	Professional		$6,349.72	$9,421.98	$9,421.98
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 $1,631.34 / $4,145.34 / $6,929.05	Professional		$1,631.34	$4,145.34	$6,929.05