Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.80 / $2,287.84 / $14,482.00	Facility		$1,407.80	$2,287.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.42 / $1,407.80 / $3,941.28	Professional		$771.42	$1,407.80	$3,941.28
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 $1,105.58 / $2,731.14 / $6,793.83	Professional		$1,105.58	$2,731.14	$6,793.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,864.66 / $3,347.58 / $5,399.53	Facility		$2,864.66	$3,347.58	$5,399.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,931.95 / $3,445.28 / $4,598.21	Professional		$1,931.95	$3,445.28	$4,598.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,118.50 / $1,756.88 / $2,441.14	Facility		$1,118.50	$1,756.88	$2,441.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,283.20 / $11,645.00 / $23,474.00	Facility		$1,283.20	$11,645.00	$23,474.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,339.81 / $3,340.24 / $6,497.32	Professional		$1,339.81	$3,340.24	$6,497.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $777.98 / $2,513.33	Professional		$61.84	$777.98	$2,513.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,118.50 / $1,756.88 / $2,441.14	Facility		$1,118.50	$1,756.88	$2,441.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,286.05 / $3,530.01 / $4,632.01	Professional		$2,286.05	$3,530.01	$4,632.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,532.64 / $21,532.64 / $21,532.64	Facility		$21,532.64	$21,532.64	$21,532.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,977.70 / $5,509.75 / $11,932.00	Professional		$1,977.70	$5,509.75	$11,932.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,781.86 / $5,781.86 / $5,781.86	Professional		$5,781.86	$5,781.86	$5,781.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,171.20 / $7,720.28 / $7,720.28	Professional		$5,171.20	$7,720.28	$7,720.28
United Facility/Professional Facility Modifier Low / Median / High Price $9,596.00 / $16,424.00 / $23,474.00	Facility		$9,596.00	$16,424.00	$23,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.86 / $3,649.31 / $5,407.61	Professional		$1,325.86	$3,649.31	$5,407.61