Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.29 / $2,399.04 / $14,482.00	Facility		$1,476.29	$2,399.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.03 / $1,476.29 / $4,158.97	Professional		$804.03	$1,476.29	$4,158.97
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 $1,161.16 / $2,866.21 / $7,129.09	Professional		$1,161.16	$2,866.21	$7,129.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,000.73 / $3,506.59 / $5,656.01	Facility		$3,000.73	$3,506.59	$5,656.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,025.86 / $3,611.14 / $4,821.21	Professional		$2,025.86	$3,611.14	$4,821.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,172.85 / $1,842.92 / $2,566.53	Facility		$1,172.85	$1,842.92	$2,566.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,346.26 / $2,803.00 / $7,700.00	Facility		$1,346.26	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,394.42 / $3,503.68 / $6,817.95	Professional		$1,394.42	$3,503.68	$6,817.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $831.46 / $2,608.42	Professional		$61.84	$831.46	$2,608.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,172.85 / $1,842.92 / $2,566.53	Facility		$1,172.85	$1,842.92	$2,566.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.50 / $3,703.65 / $4,854.99	Professional		$2,398.50	$3,703.65	$4,854.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36,684.44 / $36,684.44 / $36,684.44	Facility		$36,684.44	$36,684.44	$36,684.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,072.92 / $5,781.65 / $13,448.23	Professional		$2,072.92	$5,781.65	$13,448.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,067.13 / $6,067.13 / $6,067.13	Professional		$6,067.13	$6,067.13	$6,067.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,447.42 / $8,092.00 / $8,092.00	Professional		$5,447.42	$8,092.00	$8,092.00
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 $1,391.51 / $3,899.84 / $5,918.00	Professional		$1,391.51	$3,899.84	$5,918.00