Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.99 / $2,213.35 / $14,482.00	Facility		$1,365.99	$2,213.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.56 / $1,365.99 / $3,852.18	Professional		$746.56	$1,365.99	$3,852.18
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 $1,077.68 / $2,661.16 / $6,610.43	Professional		$1,077.68	$2,661.16	$6,610.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,768.24 / $3,234.91 / $5,217.79	Facility		$2,768.24	$3,234.91	$5,217.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.05 / $3,336.71 / $4,587.97	Professional		$1,869.05	$3,336.71	$4,587.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,082.08 / $1,707.62 / $2,389.91	Facility		$1,082.08	$1,707.62	$2,389.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,244.41 / $2,803.00 / $7,700.00	Facility		$1,244.41	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,309.52 / $3,341.09 / $6,333.29	Professional		$1,309.52	$3,341.09	$6,333.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $756.24 / $2,426.37	Professional		$61.84	$756.24	$2,426.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,082.08 / $1,707.62 / $2,389.91	Facility		$1,082.08	$1,707.62	$2,389.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,217.15 / $3,423.62 / $4,486.05	Professional		$2,217.15	$3,423.62	$4,486.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,944.56 / $33,944.56 / $33,944.56	Facility		$33,944.56	$33,944.56	$33,944.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,915.39 / $5,370.65 / $11,932.00	Professional		$1,915.39	$5,370.65	$11,932.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,625.77 / $5,625.77 / $5,625.77	Professional		$5,625.77	$5,625.77	$5,625.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,025.77 / $7,477.04 / $7,477.04	Professional		$5,025.77	$7,477.04	$7,477.04
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 $1,202.86 / $3,254.61 / $5,267.90	Professional		$1,202.86	$3,254.61	$5,267.90