Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.25 / $2,331.44 / $14,482.00	Facility		$1,433.25	$2,331.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.56 / $1,433.25 / $4,013.54	Professional		$793.56	$1,433.25	$4,013.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.13 / $2,779.18 / $6,914.49	Professional		$1,125.13	$2,779.18	$6,914.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,919.63 / $3,411.82 / $5,503.14	Facility		$2,919.63	$3,411.82	$5,503.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,968.78 / $3,509.55 / $4,688.85	Professional		$1,968.78	$3,509.55	$4,688.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,139.82 / $1,575.18 / $2,480.25	Facility		$1,139.82	$1,575.18	$2,480.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,306.59 / $2,553.00 / $7,700.00	Facility		$1,306.59	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,347.56 / $3,395.36 / $6,607.16	Professional		$1,347.56	$3,395.36	$6,607.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $803.96 / $2,540.01	Professional		$61.84	$803.96	$2,540.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,139.82 / $1,575.18 / $2,480.25	Facility		$1,139.82	$1,575.18	$2,480.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,327.65 / $3,594.25 / $4,718.42	Professional		$2,327.65	$3,594.25	$4,718.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,924.48 / $21,924.48 / $21,924.48	Facility		$21,924.48	$21,924.48	$21,924.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,014.60 / $5,602.90 / $10,197.06	Professional		$2,014.60	$5,602.90	$10,197.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,884.51 / $5,884.51 / $5,884.51	Professional		$5,884.51	$5,884.51	$5,884.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,262.76 / $7,864.30 / $7,864.30	Professional		$5,262.76	$7,864.30	$7,864.30
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 $1,347.56 / $3,395.36 / $5,504.77	Professional		$1,347.56	$3,395.36	$5,504.77