Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.93 / $2,816.01 / $14,482.00	Facility		$1,733.93	$2,816.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.46 / $1,733.93 / $4,867.55	Professional		$960.46	$1,733.93	$4,867.55
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 $1,362.92 / $3,367.49 / $8,373.78	Professional		$1,362.92	$3,367.49	$8,373.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.38 / $4,117.35 / $6,641.14	Facility		$3,523.38	$4,117.35	$6,641.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,377.96 / $4,241.70 / $5,696.57	Professional		$2,377.96	$4,241.70	$5,696.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,376.72 / $2,165.52 / $3,780.56	Facility		$1,376.72	$2,165.52	$3,780.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,580.90 / $3,005.07 / $7,700.00	Facility		$1,580.90	$3,005.07	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,654.69 / $4,151.87 / $8,014.41	Professional		$1,654.69	$4,151.87	$8,014.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $965.60 / $3,105.79	Professional		$85.00	$965.60	$3,105.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,376.72 / $2,165.52 / $3,780.56	Facility		$1,376.72	$2,165.52	$3,780.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,816.45 / $4,349.03 / $5,702.76	Professional		$2,816.45	$4,349.03	$5,702.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43,114.24 / $43,114.24 / $43,114.24	Facility		$43,114.24	$43,114.24	$43,114.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,434.90 / $6,796.25 / $22,018.91	Professional		$2,434.90	$6,796.25	$22,018.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,126.45 / $7,126.45 / $7,126.45	Professional		$7,126.45	$7,126.45	$7,126.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,400.18 / $9,505.00 / $9,505.00	Professional		$5,400.18	$9,505.00	$9,505.00
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 $1,636.30 / $4,330.49 / $6,956.53	Professional		$1,636.30	$4,330.49	$6,956.53