Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.29 / $2,765.74 / $14,482.00	Facility		$1,708.29	$2,765.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.78 / $1,708.29 / $4,830.42	Professional		$944.78	$1,708.29	$4,830.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,347.36 / $3,313.67 / $8,249.28	Professional		$1,347.36	$3,313.67	$8,249.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,452.19 / $4,034.16 / $6,506.95	Facility		$3,452.19	$4,034.16	$6,506.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,335.53 / $4,160.74 / $5,547.77	Professional		$2,335.53	$4,160.74	$5,547.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,352.14 / $2,133.15 / $3,768.00	Facility		$1,352.14	$2,133.15	$3,768.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,547.91 / $2,982.68 / $7,700.00	Facility		$1,547.91	$2,982.68	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,642.07 / $4,077.54 / $7,896.31	Professional		$1,642.07	$4,077.54	$7,896.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $951.10 / $2,965.24	Professional		$85.00	$951.10	$2,965.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,352.14 / $2,133.15 / $3,768.00	Facility		$1,352.14	$2,133.15	$3,768.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.70 / $4,253.68 / $5,593.92	Professional		$2,754.70	$4,253.68	$5,593.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34,071.66 / $34,071.66 / $34,071.66	Facility		$34,071.66	$34,071.66	$34,071.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,388.41 / $6,696.10 / $11,425.64	Professional		$2,388.41	$6,696.10	$11,425.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,020.49 / $7,020.49 / $7,020.49	Professional		$7,020.49	$7,020.49	$7,020.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,164.19 / $9,323.51 / $9,323.51	Professional		$6,164.19	$9,323.51	$9,323.51
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 $1,613.86 / $4,401.39 / $6,641.70	Professional		$1,613.86	$4,401.39	$6,641.70