Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,753.76 / $2,838.69 / $14,482.00	Facility		$1,753.76	$2,838.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.54 / $1,753.76 / $5,132.13	Professional		$985.54	$1,753.76	$5,132.13
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 $1,392.31 / $3,403.50 / $8,489.40	Professional		$1,392.31	$3,403.50	$8,489.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,522.48 / $4,116.29 / $6,639.44	Facility		$3,522.48	$4,116.29	$6,639.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,397.12 / $4,281.75 / $6,154.97	Professional		$2,397.12	$4,281.75	$6,154.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,387.80 / $2,209.23 / $3,132.43	Facility		$1,387.80	$2,209.23	$3,132.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,612.44 / $2,803.00 / $7,700.00	Facility		$1,612.44	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,727.35 / $4,596.22 / $8,202.96	Professional		$1,727.35	$4,596.22	$8,202.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $992.88 / $3,101.30	Professional		$97.62	$992.88	$3,101.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,387.80 / $2,209.23 / $3,132.43	Facility		$1,387.80	$2,209.23	$3,132.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,874.30 / $4,438.35 / $5,756.61	Professional		$2,874.30	$4,438.35	$5,756.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,573.83 / $18,573.83 / $18,573.83	Facility		$18,573.83	$18,573.83	$18,573.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,457.87 / $7,091.86 / $14,804.00	Professional		$2,457.87	$7,091.86	$14,804.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,224.82 / $7,224.82 / $7,224.82	Professional		$7,224.82	$7,224.82	$7,224.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,445.72 / $9,594.65 / $9,594.65	Professional		$6,445.72	$9,594.65	$9,594.65
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 $1,689.18 / $4,596.22 / $6,855.73	Professional		$1,689.18	$4,596.22	$6,855.73