Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,567.94 / $2,533.52 / $14,482.00	Facility		$1,567.94	$2,533.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.96 / $1,567.94 / $4,479.10	Professional		$869.96	$1,567.94	$4,479.10
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 $1,250.90 / $3,054.39 / $7,584.32	Professional		$1,250.90	$3,054.39	$7,584.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,150.32 / $3,681.39 / $5,937.96	Facility		$3,150.32	$3,681.39	$5,937.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,139.42 / $3,811.58 / $5,177.07	Professional		$2,139.42	$3,811.58	$5,177.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,238.60 / $1,964.21 / $2,796.22	Facility		$1,238.60	$1,964.21	$2,796.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,424.21 / $2,803.00 / $7,700.00	Facility		$1,424.21	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,522.64 / $3,815.50 / $7,312.29	Professional		$1,522.64	$3,815.50	$7,312.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,808.23 / $3,141.06	Professional		$85.00	$1,808.23	$3,141.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,238.60 / $1,964.21 / $2,796.22	Facility		$1,238.60	$1,964.21	$2,796.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,535.00 / $3,914.43 / $5,124.49	Professional		$2,535.00	$3,914.43	$5,124.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,844.32 / $23,844.32 / $23,844.32	Facility		$23,844.32	$23,844.32	$23,844.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.98 / $6,200.85 / $18,481.68	Professional		$2,187.98	$6,200.85	$18,481.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,454.56 / $6,454.56 / $6,454.56	Professional		$6,454.56	$6,454.56	$6,454.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,752.79 / $8,541.09 / $8,541.09	Professional		$5,752.79	$8,541.09	$8,541.09
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 $1,498.39 / $4,377.80 / $6,118.32	Professional		$1,498.39	$4,377.80	$6,118.32