Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.50 / $2,253.42 / $14,482.00	Facility		$1,199.50	$2,253.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.17 / $1,199.50 / $3,842.05	Professional		$979.17	$1,199.50	$3,842.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.84 / $2,951.19 / $6,090.63	Professional		$1,076.84	$2,951.19	$6,090.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,844.84 / $3,324.42 / $5,362.16	Facility		$2,844.84	$3,324.42	$5,362.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,652.51 / $3,424.41 / $4,518.35	Professional		$1,652.51	$3,424.41	$4,518.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.08 / $1,356.52 / $3,395.48	Facility		$1,122.08	$1,356.52	$3,395.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,199.50 / $3,395.48 / $16,779.00	Facility		$1,199.50	$3,395.48	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,268.44 / $2,715.10 / $5,287.08	Professional		$1,268.44	$2,715.10	$5,287.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $683.34 / $2,216.41	Professional		$85.00	$683.34	$2,216.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,122.08 / $1,356.52 / $3,395.48	Facility		$1,122.08	$1,356.52	$3,395.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.25 / $3,377.45 / $3,978.44	Professional		$2,187.25	$3,377.45	$3,978.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,701.31 / $5,430.20 / $9,000.00	Professional		$1,701.31	$5,430.20	$9,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,738.18 / $2,738.18 / $2,738.18	Professional		$2,738.18	$2,738.18	$2,738.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,958.93 / $5,959.85 / $5,959.85	Professional		$2,958.93	$5,959.85	$5,959.85
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,299.78 / $3,270.72 / $4,759.57	Professional		$1,299.78	$3,270.72	$4,759.57