Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.11 / $2,657.54 / $14,482.00	Facility		$1,642.11	$2,657.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.71 / $1,642.11 / $4,820.67	Professional		$925.71	$1,642.11	$4,820.67
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 $1,306.68 / $3,190.48 / $7,952.37	Professional		$1,306.68	$3,190.48	$7,952.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,296.30 / $3,851.98 / $6,213.11	Facility		$3,296.30	$3,851.98	$6,213.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,244.14 / $4,007.40 / $5,285.92	Professional		$2,244.14	$4,007.40	$5,285.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,299.24 / $2,068.77 / $2,539.42	Facility		$1,299.24	$2,068.77	$2,539.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,417.36 / $2,678.00 / $7,700.00	Facility		$1,417.36	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,620.57 / $4,202.24 / $7,695.90	Professional		$1,620.57	$4,202.24	$7,695.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $1,138.02 / $2,950.95	Professional		$117.89	$1,138.02	$2,950.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,299.24 / $2,068.77 / $2,539.42	Facility		$1,299.24	$2,068.77	$2,539.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,692.30 / $4,157.33 / $5,387.75	Professional		$2,692.30	$4,157.33	$5,387.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,380.88 / $17,380.88 / $17,380.88	Facility		$17,380.88	$17,380.88	$17,380.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,300.40 / $6,640.31 / $10,151.00	Professional		$2,300.40	$6,640.31	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,767.83 / $6,767.83 / $6,767.83	Professional		$6,767.83	$6,767.83	$6,767.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,034.39 / $8,979.91 / $8,979.91	Professional		$6,034.39	$8,979.91	$8,979.91
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 $1,398.84 / $3,975.48 / $6,440.08	Professional		$1,398.84	$3,975.48	$6,440.08