Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.34 / $2,700.45 / $14,482.00	Facility		$1,663.34	$2,700.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.11 / $1,663.34 / $4,689.46	Professional		$912.11	$1,663.34	$4,689.46
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 $1,285.33 / $3,232.56 / $8,036.17	Professional		$1,285.33	$3,232.56	$8,036.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,376.50 / $3,945.70 / $6,364.28	Facility		$3,376.50	$3,945.70	$6,364.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,280.38 / $4,067.47 / $5,421.16	Professional		$2,280.38	$4,067.47	$5,421.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,320.22 / $2,077.98 / $3,675.00	Facility		$1,320.22	$2,077.98	$3,675.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,516.95 / $2,803.00 / $7,700.00	Facility		$1,516.95	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,594.15 / $3,954.00 / $7,694.25	Professional		$1,594.15	$3,954.00	$7,694.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $939.62 / $2,960.37	Professional		$85.00	$939.62	$2,960.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,320.22 / $2,077.98 / $3,675.00	Facility		$1,320.22	$2,077.98	$3,675.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,702.70 / $4,173.38 / $5,468.52	Professional		$2,702.70	$4,173.38	$5,468.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,451.84 / $25,451.84 / $25,451.84	Facility		$25,451.84	$25,451.84	$25,451.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,334.87 / $6,524.75 / $16,901.89	Professional		$2,334.87	$6,524.75	$16,901.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,839.12 / $6,839.12 / $6,839.12	Professional		$6,839.12	$6,839.12	$6,839.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,130.53 / $9,114.50 / $9,114.50	Professional		$6,130.53	$9,114.50	$9,114.50
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 $1,565.94 / $3,954.00 / $6,407.61	Professional		$1,565.94	$3,954.00	$6,407.61