Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.78 / $2,105.86 / $14,482.00	Facility		$1,002.78	$2,105.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.55 / $1,073.42 / $4,760.12	Professional		$965.55	$1,073.42	$4,760.12
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 $995.60 / $2,314.12 / $5,916.76	Professional		$995.60	$2,314.12	$5,916.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,652.90 / $3,100.12 / $4,755.66	Facility		$2,652.90	$3,100.12	$4,755.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.10 / $4,084.33 / $4,641.29	Professional		$1,567.10	$4,084.33	$4,641.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,002.78 / $1,497.50 / $2,216.14	Facility		$1,002.78	$1,497.50	$2,216.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.78 / $2,064.41 / $13,120.00	Facility		$1,002.78	$2,064.41	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,186.48 / $2,180.89 / $8,230.76	Professional		$1,186.48	$2,180.89	$8,230.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $628.47 / $2,023.18	Professional		$95.64	$628.47	$2,023.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,002.78 / $1,457.23 / $2,216.14	Facility		$1,002.78	$1,457.23	$2,216.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,056.60 / $2,505.89 / $3,740.80	Professional		$2,056.60	$2,505.89	$3,740.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,083.60 / $6,083.60 / $6,083.60	Facility		$6,083.60	$6,083.60	$6,083.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,910.88 / $4,979.20 / $8,230.76	Professional		$1,910.88	$4,979.20	$8,230.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,327.36 / $3,327.36 / $3,327.36	Professional		$3,327.36	$3,327.36	$3,327.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,964.14 / $5,120.33 / $6,500.00	Professional		$2,964.14	$5,120.33	$6,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.01 / $2,099.46 / $4,531.07	Professional		$1,151.01	$2,099.46	$4,531.07