Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.88 / $2,777.53 / $14,482.00	Facility		$1,714.88	$2,777.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.34 / $1,714.88 / $4,829.92	Professional		$953.34	$1,714.88	$4,829.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,338.09 / $3,327.90 / $8,284.61	Professional		$1,338.09	$3,327.90	$8,284.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,466.61 / $4,051.01 / $6,534.13	Facility		$3,466.61	$4,051.01	$6,534.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,345.48 / $4,178.22 / $5,570.79	Professional		$2,345.48	$4,178.22	$5,570.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,357.91 / $2,141.42 / $2,654.09	Facility		$1,357.91	$2,141.42	$2,654.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,554.79 / $2,693.39 / $7,700.00	Facility		$1,554.79	$2,693.39	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,635.01 / $4,075.11 / $7,929.92	Professional		$1,635.01	$4,075.11	$7,929.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $967.11 / $2,992.37	Professional		$85.00	$967.11	$2,992.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,357.91 / $2,141.42 / $2,654.09	Facility		$1,357.91	$2,141.42	$2,654.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,767.05 / $4,272.75 / $5,617.41	Professional		$2,767.05	$4,272.75	$5,617.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,069.60 / $26,069.60 / $26,069.60	Facility		$26,069.60	$26,069.60	$26,069.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.44 / $6,724.60 / $10,243.28	Professional		$2,398.44	$6,724.60	$10,243.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,050.55 / $7,050.55 / $7,050.55	Professional		$7,050.55	$7,050.55	$7,050.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,306.86 / $9,362.64 / $9,362.64	Professional		$6,306.86	$9,362.64	$9,362.64
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 $1,613.90 / $4,075.11 / $6,614.12	Professional		$1,613.90	$4,075.11	$6,614.12