Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.93 / $2,560.19 / $14,482.00	Facility		$1,580.93	$2,560.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.16 / $1,580.93 / $4,591.72	Professional		$924.16	$1,580.93	$4,591.72
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 $1,247.69 / $3,077.85 / $7,644.63	Professional		$1,247.69	$3,077.85	$7,644.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,201.68 / $3,741.42 / $6,034.77	Facility		$3,201.68	$3,741.42	$6,034.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,161.92 / $3,859.34 / $5,372.95	Professional		$2,161.92	$3,859.34	$5,372.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,251.65 / $1,976.64 / $2,768.40	Facility		$1,251.65	$1,976.64	$2,768.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,439.60 / $2,803.00 / $7,700.00	Facility		$1,439.60	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,544.26 / $3,884.87 / $7,333.52	Professional		$1,544.26	$3,884.87	$7,333.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $908.55 / $2,751.33	Professional		$85.00	$908.55	$2,751.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,251.65 / $1,976.64 / $2,768.40	Facility		$1,251.65	$1,976.64	$2,768.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,564.90 / $3,960.60 / $5,188.70	Professional		$2,564.90	$3,960.60	$5,188.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,166.24 / $24,166.24 / $24,166.24	Facility		$24,166.24	$24,166.24	$24,166.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $6,218.85 / $9,886.00	Professional		$2,215.40	$6,218.85	$9,886.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,505.89 / $6,505.89 / $6,505.89	Professional		$6,505.89	$6,505.89	$6,505.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,813.33 / $8,648.15 / $8,648.15	Professional		$5,813.33	$8,648.15	$8,648.15
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 $1,498.79 / $3,884.87 / $6,097.59	Professional		$1,498.79	$3,884.87	$6,097.59