Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.74 / $2,505.69 / $14,482.00	Facility		$1,547.74	$2,505.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.10 / $1,547.74 / $4,485.22	Professional		$869.10	$1,547.74	$4,485.22
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 $1,226.73 / $3,004.53 / $7,490.42	Professional		$1,226.73	$3,004.53	$7,490.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,109.77 / $3,634.01 / $5,861.52	Facility		$3,109.77	$3,634.01	$5,861.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,115.92 / $3,778.61 / $5,500.90	Professional		$2,115.92	$3,778.61	$5,500.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,717.42 / $2,394.33	Facility		$1,225.00	$1,717.42	$2,394.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,423.42 / $2,678.00 / $7,700.00	Facility		$1,423.42	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,523.19 / $4,054.62 / $7,233.46	Professional		$1,523.19	$4,054.62	$7,233.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,048.67 / $2,765.39	Professional		$105.27	$1,048.67	$2,765.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,717.42 / $2,394.33	Facility		$1,225.00	$1,717.42	$2,394.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,537.60 / $3,918.44 / $5,080.16	Professional		$2,537.60	$3,918.44	$5,080.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,832.80 / $23,832.80 / $23,832.80	Facility		$23,832.80	$23,832.80	$23,832.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,169.05 / $6,219.54 / $9,344.48	Professional		$2,169.05	$6,219.54	$9,344.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,374.65 / $6,374.65 / $6,374.65	Professional		$6,374.65	$6,374.65	$6,374.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,842.20 / $8,467.19 / $8,467.19	Professional		$2,842.20	$8,467.19	$8,467.19
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 $1,491.68 / $4,330.60 / $6,046.93	Professional		$1,491.68	$4,330.60	$6,046.93