Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.34 / $2,832.82 / $14,482.00	Facility		$1,743.34	$2,832.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.29 / $1,743.34 / $4,915.67	Professional		$956.29	$1,743.34	$4,915.67
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 $1,365.69 / $3,387.22 / $8,422.08	Professional		$1,365.69	$3,387.22	$8,422.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,542.30 / $4,139.46 / $6,676.80	Facility		$3,542.30	$4,139.46	$6,676.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,392.16 / $4,265.04 / $5,688.77	Professional		$2,392.16	$4,265.04	$5,688.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,384.93 / $2,177.31 / $3,925.00	Facility		$1,384.93	$2,177.31	$3,925.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,590.98 / $2,989.05 / $7,700.00	Facility		$1,590.98	$2,989.05	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,671.05 / $4,142.97 / $8,061.99	Professional		$1,671.05	$4,142.97	$8,061.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $965.60 / $3,105.79	Professional		$85.00	$965.60	$3,105.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,384.93 / $2,177.31 / $3,925.00	Facility		$1,384.93	$2,177.31	$3,925.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,834.65 / $4,377.14 / $5,734.14	Professional		$2,834.65	$4,377.14	$5,734.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,681.36 / $31,681.36 / $31,681.36	Facility		$31,681.36	$31,681.36	$31,681.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,448.27 / $6,836.60 / $18,750.00	Professional		$2,448.27	$6,836.60	$18,750.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,167.52 / $7,167.52 / $7,167.52	Professional		$7,167.52	$7,167.52	$7,167.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,423.65 / $9,557.18 / $9,557.18	Professional		$6,423.65	$9,557.18	$9,557.18
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 $1,425.73 / $4,101.85 / $6,716.12	Professional		$1,425.73	$4,101.85	$6,716.12