Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.28 / $2,584.30 / $14,482.00	Facility		$1,589.28	$2,584.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.79 / $1,589.28 / $4,479.32	Professional		$871.79	$1,589.28	$4,479.32
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 $1,240.35 / $3,084.84 / $7,674.45	Professional		$1,240.35	$3,084.84	$7,674.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,232.32 / $3,777.22 / $6,092.52	Facility		$3,232.32	$3,777.22	$6,092.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,182.30 / $3,889.86 / $5,193.84	Professional		$2,182.30	$3,889.86	$5,193.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,263.44 / $1,983.76 / $3,140.00	Facility		$1,263.44	$1,983.76	$3,140.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,378.30 / $2,803.00 / $7,700.00	Facility		$1,378.30	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,522.72 / $3,779.05 / $7,339.18	Professional		$1,522.72	$3,779.05	$7,339.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $886.01 / $2,762.73	Professional		$85.00	$886.01	$2,762.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,263.44 / $1,983.76 / $3,140.00	Facility		$1,263.44	$1,983.76	$3,140.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,583.75 / $3,989.71 / $5,229.72	Professional		$2,583.75	$3,989.71	$5,229.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,518.96 / $39,518.96 / $39,518.96	Facility		$39,518.96	$39,518.96	$39,518.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,232.91 / $6,223.65 / $18,272.75	Professional		$2,232.91	$6,223.65	$18,272.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,531.28 / $6,531.28 / $6,531.28	Professional		$6,531.28	$6,531.28	$6,531.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,848.08 / $8,716.54 / $8,716.54	Professional		$5,848.08	$8,716.54	$8,716.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,497.79 / $3,779.05 / $6,116.31	Professional		$1,497.79	$3,779.05	$6,116.31