Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,325.32 / $2,226.98 / $14,482.00	Facility		$1,325.32	$2,226.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.93 / $1,325.32 / $3,665.73	Professional		$727.93	$1,325.32	$3,665.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,653.00 / $11,863.00	Facility		$4,637.00	$7,653.00	$11,863.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.15 / $2,550.11 / $6,366.89	Professional		$1,039.15	$2,550.11	$6,366.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,749.32 / $3,212.79 / $5,182.12	Facility		$2,749.32	$3,212.79	$5,182.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,036.96 / $3,302.78 / $4,484.55	Professional		$2,036.96	$3,302.78	$4,484.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,088.75 / $1,454.81 / $2,284.89	Facility		$1,088.75	$1,454.81	$2,284.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.10 / $2,730.00 / $7,700.00	Facility		$1,246.10	$2,730.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,244.61 / $3,135.20 / $6,100.92	Professional		$1,244.61	$3,135.20	$6,100.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $777.14 / $2,417.40	Professional		$61.84	$777.14	$2,417.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,088.75 / $1,454.81 / $2,284.89	Facility		$1,088.75	$1,454.81	$2,284.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,219.75 / $3,427.64 / $4,440.43	Professional		$2,219.75	$3,427.64	$4,440.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,608.48 / $20,608.48 / $20,608.48	Facility		$20,608.48	$20,608.48	$20,608.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,055.58 / $5,173.60 / $8,080.40	Professional		$2,055.58	$5,173.60	$8,080.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,418.46 / $5,418.46 / $5,418.46	Professional		$5,418.46	$5,418.46	$5,418.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,834.93 / $7,401.04 / $7,401.04	Professional		$4,834.93	$7,401.04	$7,401.04
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 $1,244.61 / $3,425.19 / $5,828.82	Professional		$1,244.61	$3,425.19	$5,828.82