Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.10 / $2,177.69 / $14,482.00	Facility		$1,034.10	$2,177.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.47 / $1,100.73 / $4,873.35	Professional		$993.47	$1,100.73	$4,873.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,217.00 / $17,296.00	Facility		$5,169.00	$8,217.00	$17,296.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.46 / $2,386.42 / $6,086.47	Professional		$1,020.46	$2,386.42	$6,086.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,747.51 / $3,210.69 / $4,925.28	Facility		$2,747.51	$3,210.69	$4,925.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.54 / $4,221.13 / $4,796.74	Professional		$1,552.54	$4,221.13	$4,796.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,034.10 / $1,501.76 / $2,419.65	Facility		$1,034.10	$1,501.76	$2,419.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,034.10 / $2,140.21 / $14,246.00	Facility		$1,034.10	$2,140.21	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,159.65 / $2,075.96 / $9,214.82	Professional		$1,159.65	$2,075.96	$9,214.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $641.55 / $2,028.89	Professional		$95.64	$641.55	$2,028.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,034.10 / $1,499.68 / $2,419.65	Facility		$1,034.10	$1,499.68	$2,419.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,120.94 / $2,584.30 / $3,857.84	Professional		$2,120.94	$2,584.30	$3,857.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,276.50 / $6,276.50 / $6,276.50	Facility		$6,276.50	$6,276.50	$6,276.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,974.87 / $5,097.64 / $9,214.82	Professional		$1,974.87	$5,097.64	$9,214.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,422.79 / $3,422.79 / $3,422.79	Professional		$3,422.79	$3,422.79	$3,422.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,040.11 / $5,259.50 / $6,717.65	Professional		$3,040.11	$5,259.50	$6,717.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.57 / $2,039.06 / $4,669.45	Professional		$1,121.57	$2,039.06	$4,669.45