Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,330.44 / $2,158.65 / $14,482.00	Facility		$1,330.44	$2,158.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.89 / $1,330.44 / $3,775.90	Professional		$734.89	$1,330.44	$3,775.90
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 $1,047.73 / $2,578.98 / $6,421.12	Professional		$1,047.73	$2,578.98	$6,421.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,695.25 / $3,149.61 / $5,080.21	Facility		$2,695.25	$3,149.61	$5,080.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,822.85 / $3,244.73 / $4,336.35	Professional		$1,822.85	$3,244.73	$4,336.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,055.33 / $1,659.44 / $2,385.46	Facility		$1,055.33	$1,659.44	$2,385.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,206.74 / $2,553.00 / $7,700.00	Facility		$1,206.74	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.71 / $3,157.65 / $6,144.61	Professional		$1,254.71	$3,157.65	$6,144.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $748.29 / $2,304.75	Professional		$61.84	$748.29	$2,304.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,055.33 / $1,659.44 / $2,385.46	Facility		$1,055.33	$1,659.44	$2,385.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,147.60 / $3,316.22 / $4,362.38	Professional		$2,147.60	$3,316.22	$4,362.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,218.72 / $20,218.72 / $20,218.72	Facility		$20,218.72	$20,218.72	$20,218.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.59 / $5,210.64 / $12,102.00	Professional		$1,862.59	$5,210.64	$12,102.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,464.63 / $5,464.63 / $5,464.63	Professional		$5,464.63	$5,464.63	$5,464.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,861.34 / $7,270.90 / $7,270.90	Professional		$4,861.34	$7,270.90	$7,270.90
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 $1,254.71 / $3,191.48 / $5,333.54	Professional		$1,254.71	$3,191.48	$5,333.54