Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.33 / $2,654.46 / $14,482.00	Facility		$1,644.33	$2,654.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.87 / $1,644.33 / $4,647.95	Professional		$906.87	$1,644.33	$4,647.95
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 $1,296.13 / $3,190.38 / $7,935.20	Professional		$1,296.13	$3,190.38	$7,935.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,336.85 / $3,899.37 / $6,289.55	Facility		$3,336.85	$3,899.37	$6,289.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,241.54 / $4,021.63 / $5,323.33	Professional		$2,241.54	$4,021.63	$5,323.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,297.74 / $2,054.89 / $3,360.00	Facility		$1,297.74	$2,054.89	$3,360.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,490.54 / $2,860.81 / $7,700.00	Facility		$1,490.54	$2,860.81	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,580.04 / $3,905.43 / $7,599.73	Professional		$1,580.04	$3,905.43	$7,599.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $939.62 / $2,915.83	Professional		$85.00	$939.62	$2,915.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,297.74 / $2,054.89 / $3,360.00	Facility		$1,297.74	$2,054.89	$3,360.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,654.60 / $4,099.10 / $5,406.88	Professional		$2,654.60	$4,099.10	$5,406.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,980.50 / $32,980.50 / $32,980.50	Facility		$32,980.50	$32,980.50	$32,980.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,308.56 / $6,444.60 / $11,425.64	Professional		$2,308.56	$6,444.60	$11,425.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,753.18 / $6,753.18 / $6,753.18	Professional		$6,753.18	$6,753.18	$6,753.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,027.39 / $9,011.81 / $9,011.81	Professional		$6,027.39	$9,011.81	$9,011.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,553.16 / $3,936.22 / $6,322.97	Professional		$1,553.16	$3,936.22	$6,322.97