Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $2,553.39 / $16,843.41	Facility		$83.80	$2,553.39	$16,843.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.95 / $1,597.27 / $4,853.20	Professional		$856.95	$1,597.27	$4,853.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,192.00 / $17,350.28 / $23,460.00	Facility		$11,192.00	$17,350.28	$23,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.96 / $3,005.18 / $7,754.72	Professional		$1,278.96	$3,005.18	$7,754.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,205.28 / $3,745.63 / $6,041.56	Facility		$3,205.28	$3,745.63	$6,041.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,156.19 / $3,865.57 / $5,119.03	Professional		$2,156.19	$3,865.57	$5,119.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,248.32 / $1,790.54 / $2,474.54	Facility		$1,248.32	$1,790.54	$2,474.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,361.81 / $2,803.00 / $7,868.00	Facility		$1,361.81	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,532.17 / $4,123.27 / $7,148.18	Professional		$1,532.17	$4,123.27	$7,148.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,320.73 / $2,942.28	Professional		$85.00	$1,320.73	$2,942.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,248.32 / $1,790.54 / $2,474.54	Facility		$1,248.32	$1,790.54	$2,474.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $3,830.12 / $5,197.07	Professional		$2,480.40	$3,830.12	$5,197.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,784.64 / $23,784.64 / $23,784.64	Facility		$23,784.64	$23,784.64	$23,784.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,218.96 / $6,348.10 / $9,436.32	Professional		$2,218.96	$6,348.10	$9,436.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,599.59 / $6,599.59 / $6,599.59	Professional		$6,599.59	$6,599.59	$6,599.59
Security Health Facility/Professional Facility Modifier Low / Median / High Price $10,269.81 / $13,139.87 / $15,102.66	Facility		$10,269.81	$13,139.87	$15,102.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,517.09 / $8,662.03 / $8,662.03	Professional		$5,517.09	$8,662.03	$8,662.03
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 $1,532.17 / $4,212.32 / $6,241.89	Professional		$1,532.17	$4,212.32	$6,241.89