Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.59 / $2,812.09 / $14,482.00	Facility		$1,735.59	$2,812.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.15 / $1,735.59 / $4,891.80	Professional		$964.15	$1,735.59	$4,891.80
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 $1,368.03 / $3,365.10 / $8,379.67	Professional		$1,368.03	$3,365.10	$8,379.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,510.76 / $4,102.60 / $6,617.36	Facility		$3,510.76	$4,102.60	$6,617.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,374.66 / $4,229.49 / $5,642.73	Professional		$2,374.66	$4,229.49	$5,642.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,374.80 / $2,166.62 / $2,687.11	Facility		$1,374.80	$2,166.62	$2,687.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,573.43 / $2,728.01 / $7,700.00	Facility		$1,573.43	$2,728.01	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,662.94 / $4,120.50 / $8,018.24	Professional		$1,662.94	$4,120.50	$8,018.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $993.10 / $3,072.04	Professional		$85.00	$993.10	$3,072.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,374.80 / $2,166.62 / $2,687.11	Facility		$1,374.80	$2,166.62	$2,687.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,800.20 / $4,323.93 / $5,686.34	Professional		$2,800.20	$4,323.93	$5,686.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,381.12 / $26,381.12 / $26,381.12	Facility		$26,381.12	$26,381.12	$26,381.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,427.87 / $6,799.50 / $10,365.28	Professional		$2,427.87	$6,799.50	$10,365.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,131.45 / $7,131.45 / $7,131.45	Professional		$7,131.45	$7,131.45	$7,131.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,385.33 / $9,477.54 / $9,477.54	Professional		$6,385.33	$9,477.54	$9,477.54
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 $1,638.36 / $4,160.35 / $6,959.86	Professional		$1,638.36	$4,160.35	$6,959.86