Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,709.72 / $2,735.42 / $14,482.00	Facility		$1,709.72	$2,735.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.57 / $1,709.72 / $4,970.97	Professional		$958.57	$1,709.72	$4,970.97
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 $1,362.67 / $3,062.19 / $7,977.15	Professional		$1,362.67	$3,062.19	$7,977.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,420.65 / $3,997.30 / $6,447.51	Facility		$3,420.65	$3,997.30	$6,447.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,309.90 / $4,146.51 / $5,824.92	Professional		$2,309.90	$4,146.51	$5,824.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,337.31 / $2,147.34 / $2,613.84	Facility		$1,337.31	$2,147.34	$2,613.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.30 / $2,678.00 / $7,700.00	Facility		$1,548.30	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,673.97 / $4,305.89 / $7,949.49	Professional		$1,673.97	$4,305.89	$7,949.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $963.38 / $2,996.10	Professional		$85.00	$963.38	$2,996.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,337.31 / $2,147.34 / $2,613.84	Facility		$1,337.31	$2,147.34	$2,613.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,759.25 / $4,260.71 / $5,574.78	Professional		$2,759.25	$4,260.71	$5,574.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,098.40 / $26,098.40 / $26,098.40	Facility		$26,098.40	$26,098.40	$26,098.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,380.23 / $6,741.20 / $10,231.20	Professional		$2,380.23	$6,741.20	$10,231.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,991.90 / $6,991.90 / $6,991.90	Professional		$6,991.90	$6,991.90	$6,991.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,211.22 / $9,291.62 / $9,291.62	Professional		$6,211.22	$9,291.62	$9,291.62
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 $1,632.59 / $4,491.99 / $6,656.32	Professional		$1,632.59	$4,491.99	$6,656.32