Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.27 / $2,681.24 / $14,482.00	Facility		$1,651.27	$2,681.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.77 / $1,651.27 / $4,661.72	Professional		$905.77	$1,651.27	$4,661.72
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 $1,296.17 / $3,209.34 / $7,979.29	Professional		$1,296.17	$3,209.34	$7,979.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,353.97 / $3,919.38 / $6,321.82	Facility		$3,353.97	$3,919.38	$6,321.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,264.16 / $4,039.79 / $5,383.76	Professional		$2,264.16	$4,039.79	$5,383.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,310.83 / $2,062.73 / $2,847.48	Facility		$1,310.83	$2,062.73	$2,847.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,506.02 / $2,803.00 / $7,700.00	Facility		$1,506.02	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.72 / $3,926.61 / $7,640.94	Professional		$1,584.72	$3,926.61	$7,640.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $919.83 / $2,960.37	Professional		$85.00	$919.83	$2,960.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,310.83 / $2,062.73 / $2,847.48	Facility		$1,310.83	$2,062.73	$2,847.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,683.20 / $4,143.27 / $5,431.31	Professional		$2,683.20	$4,143.27	$5,431.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,079.22 / $41,079.22 / $41,079.22	Facility		$41,079.22	$41,079.22	$41,079.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,318.98 / $6,479.55 / $19,381.65	Professional		$2,318.98	$6,479.55	$19,381.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,790.73 / $6,790.73 / $6,790.73	Professional		$6,790.73	$6,790.73	$6,790.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,087.52 / $9,052.52 / $9,052.52	Professional		$6,087.52	$9,052.52	$9,052.52
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 $1,560.54 / $3,970.87 / $6,363.31	Professional		$1,560.54	$3,970.87	$6,363.31