Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,544.93 / $2,511.48 / $14,482.00	Facility		$1,544.93	$2,511.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.99 / $1,544.93 / $4,298.13	Professional		$855.99	$1,544.93	$4,298.13
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 $1,214.54 / $2,998.69 / $7,459.31	Professional		$1,214.54	$2,998.69	$7,459.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,144.01 / $3,674.02 / $5,926.07	Facility		$3,144.01	$3,674.02	$5,926.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,120.81 / $3,781.76 / $5,047.09	Professional		$2,120.81	$3,781.76	$5,047.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,227.83 / $1,927.99 / $2,681.50	Facility		$1,227.83	$1,927.99	$2,681.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,408.40 / $2,730.00 / $7,700.00	Facility		$1,408.40	$2,730.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,455.00 / $3,664.27 / $7,130.45	Professional		$1,455.00	$3,664.27	$7,130.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,116.22 / $2,812.14	Professional		$85.00	$1,116.22	$2,812.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,227.83 / $1,927.99 / $2,681.50	Facility		$1,227.83	$1,927.99	$2,681.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,509.00 / $3,874.28 / $5,084.39	Professional		$2,509.00	$3,874.28	$5,084.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,639.20 / $23,639.20 / $23,639.20	Facility		$23,639.20	$23,639.20	$23,639.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,170.87 / $6,046.65 / $12,784.00	Professional		$2,170.87	$6,046.65	$12,784.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,348.17 / $6,348.17 / $6,348.17	Professional		$6,348.17	$6,348.17	$6,348.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,681.66 / $8,474.28 / $8,474.28	Professional		$5,681.66	$8,474.28	$8,474.28
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 $1,455.00 / $3,709.65 / $6,189.25	Professional		$1,455.00	$3,709.65	$6,189.25