Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.16 / $2,151.09 / $14,482.00	Facility		$1,328.16	$2,151.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.12 / $1,328.16 / $3,839.72	Professional		$744.12	$1,328.16	$3,839.72
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 $1,049.26 / $2,573.88 / $6,425.75	Professional		$1,049.26	$2,573.88	$6,425.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.82 / $3,122.23 / $5,036.05	Facility		$2,671.82	$3,122.23	$5,036.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,816.48 / $3,243.87 / $4,765.18	Professional		$1,816.48	$3,243.87	$4,765.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,051.64 / $1,671.14 / $2,625.00	Facility		$1,051.64	$1,671.14	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,220.44 / $2,747.50 / $7,700.00	Facility		$1,220.44	$2,747.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,304.33 / $3,514.01 / $6,194.13	Professional		$1,304.33	$3,514.01	$6,194.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $918.47 / $2,409.57	Professional		$81.30	$918.47	$2,409.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,051.64 / $1,671.14 / $2,625.00	Facility		$1,051.64	$1,671.14	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,175.55 / $3,359.38 / $4,361.22	Professional		$2,175.55	$3,359.38	$4,361.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,055.14 / $14,055.14 / $14,055.14	Facility		$14,055.14	$14,055.14	$14,055.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.10 / $5,358.82 / $8,338.08	Professional		$1,862.10	$5,358.82	$8,338.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,468.60 / $5,468.60 / $5,468.60	Professional		$5,468.60	$5,468.60	$5,468.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,884.41 / $7,269.01 / $7,269.01	Professional		$4,884.41	$7,269.01	$7,269.01
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 $1,300.42 / $3,732.95 / $5,376.53	Professional		$1,300.42	$3,732.95	$5,376.53