Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,685.61 / $2,729.66 / $14,482.00	Facility		$1,685.61	$2,729.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.08 / $1,685.61 / $4,759.57	Professional		$925.08	$1,685.61	$4,759.57
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 $1,331.84 / $3,283.76 / $8,157.64	Professional		$1,331.84	$3,283.76	$8,157.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,413.44 / $3,988.88 / $6,433.92	Facility		$3,413.44	$3,988.88	$6,433.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,305.03 / $4,116.26 / $5,649.01	Professional		$2,305.03	$4,116.26	$5,649.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,334.50 / $2,108.17 / $2,958.18	Facility		$1,334.50	$2,108.17	$2,958.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,535.54 / $2,803.00 / $7,700.00	Facility		$1,535.54	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,617.98 / $4,101.46 / $7,822.55	Professional		$1,617.98	$4,101.46	$7,822.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $940.19 / $3,036.39	Professional		$85.00	$940.19	$3,036.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,334.50 / $2,108.17 / $2,958.18	Facility		$1,334.50	$2,108.17	$2,958.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,735.85 / $4,224.57 / $5,534.11	Professional		$2,735.85	$4,224.57	$5,534.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,783.52 / $25,783.52 / $25,783.52	Facility		$25,783.52	$25,783.52	$25,783.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,362.87 / $6,633.55 / $16,540.23	Professional		$2,362.87	$6,633.55	$16,540.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,942.48 / $6,942.48 / $6,942.48	Professional		$6,942.48	$6,942.48	$6,942.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,632.79 / $9,223.83 / $9,223.83	Professional		$4,632.79	$9,223.83	$9,223.83
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 $1,598.99 / $4,342.97 / $6,510.94	Professional		$1,598.99	$4,342.97	$6,510.94