Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.29 / $2,476.21 / $14,482.00	Facility		$1,522.29	$2,476.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.96 / $1,522.29 / $4,291.53	Professional		$835.96	$1,522.29	$4,291.53
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 $1,191.83 / $2,952.96 / $7,349.20	Professional		$1,191.83	$2,952.96	$7,349.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,098.95 / $3,621.37 / $5,841.14	Facility		$3,098.95	$3,621.37	$5,841.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,091.02 / $3,727.27 / $4,978.03	Professional		$2,091.02	$3,727.27	$4,978.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,210.58 / $1,899.66 / $2,611.63	Facility		$1,210.58	$1,899.66	$2,611.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,388.96 / $2,803.00 / $7,700.00	Facility		$1,388.96	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,458.88 / $3,617.93 / $7,024.26	Professional		$1,458.88	$3,617.93	$7,024.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,096.38 / $2,792.38	Professional		$85.00	$1,096.38	$2,792.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,210.58 / $1,899.66 / $2,611.63	Facility		$1,210.58	$1,899.66	$2,611.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,474.55 / $3,821.09 / $5,011.14	Professional		$2,474.55	$3,821.09	$5,011.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,296.16 / $23,296.16 / $23,296.16	Facility		$23,296.16	$23,296.16	$23,296.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,139.59 / $5,956.60 / $9,532.78	Professional		$2,139.59	$5,956.60	$9,532.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,254.47 / $6,254.47 / $6,254.47	Professional		$6,254.47	$6,254.47	$6,254.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,595.77 / $8,352.20 / $8,352.20	Professional		$5,595.77	$8,352.20	$8,352.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.27 / $3,632.41 / $5,850.15	Professional		$1,433.27	$3,632.41	$5,850.15