Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.54 / $2,641.79 / $14,482.00	Facility		$1,633.54	$2,641.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.25 / $1,633.54 / $4,595.67	Professional		$824.25	$1,633.54	$4,595.67
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 $1,289.81 / $3,084.93 / $7,896.83	Professional		$1,289.81	$3,084.93	$7,896.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,293.59 / $3,848.82 / $6,208.02	Facility		$3,293.59	$3,848.82	$6,208.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,230.84 / $3,974.40 / $5,294.56	Professional		$2,230.84	$3,974.40	$5,294.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,291.54 / $2,041.78 / $2,835.00	Facility		$1,291.54	$2,041.78	$2,835.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,480.91 / $2,803.00 / $7,700.00	Facility		$1,480.91	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,550.26 / $3,895.10 / $7,579.62	Professional		$1,550.26	$3,895.10	$7,579.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $913.64 / $2,829.47	Professional		$85.00	$913.64	$2,829.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,291.54 / $2,041.78 / $2,835.00	Facility		$1,291.54	$2,041.78	$2,835.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,635.75 / $4,070.00 / $5,343.38	Professional		$2,635.75	$4,070.00	$5,343.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,813.44 / $24,813.44 / $24,813.44	Facility		$24,813.44	$24,813.44	$24,813.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,281.44 / $6,427.55 / $11,506.00	Professional		$2,281.44	$6,427.55	$11,506.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,720.52 / $6,720.52 / $6,720.52	Professional		$6,720.52	$6,720.52	$6,720.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,541.71 / $8,905.95 / $8,905.95	Professional		$5,541.71	$8,905.95	$8,905.95
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 $1,550.26 / $4,142.07 / $6,327.90	Professional		$1,550.26	$4,142.07	$6,327.90