Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.41 / $1,048.41 / $14,482.00	Facility		$1,048.41	$1,048.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.26 / $1,074.17 / $1,704.38	Professional		$962.26	$1,074.17	$1,704.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.09 / $2,419.40 / $6,150.18	Professional		$1,017.09	$2,419.40	$6,150.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,793.47 / $3,264.39 / $5,007.66	Facility		$2,793.47	$3,264.39	$5,007.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.81 / $4,271.60 / $4,931.59	Professional		$1,582.81	$4,271.60	$4,931.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,048.41 / $1,491.50 / $2,284.19	Facility		$1,048.41	$1,491.50	$2,284.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,074.17 / $1,925.72 / $14,246.00	Facility		$1,074.17	$1,925.72	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,175.39 / $2,351.46 / $8,035.36	Professional		$1,175.39	$2,351.46	$8,035.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $164.07 / $1,820.63	Professional		$58.40	$164.07	$1,820.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,048.41 / $1,467.77 / $2,284.19	Facility		$1,048.41	$1,467.77	$2,284.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,079.50 / $2,638.94 / $3,783.82	Professional		$2,079.50	$2,638.94	$3,783.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,391.70 / $6,391.70 / $6,391.70	Facility		$6,391.70	$6,391.70	$6,391.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,948.23 / $5,089.55 / $8,035.36	Professional		$1,948.23	$5,089.55	$8,035.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,482.73 / $3,482.73 / $3,482.73	Professional		$3,482.73	$3,482.73	$3,482.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.23 / $7,021.12 / $7,021.12	Professional		$2,013.23	$7,021.12	$7,021.12
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 $1,116.60 / $2,258.69 / $4,486.06	Professional		$1,116.60	$2,258.69	$4,486.06