Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.39 / $2,114.21 / $14,482.00	Facility		$1,003.39	$2,114.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.45 / $1,045.31 / $4,718.96	Professional		$963.45	$1,045.31	$4,718.96
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 $978.59 / $2,306.44 / $5,898.73	Professional		$978.59	$2,306.44	$5,898.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,669.12 / $3,119.07 / $4,784.74	Facility		$2,669.12	$3,119.07	$4,784.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,508.16 / $4,096.97 / $4,655.66	Professional		$1,508.16	$4,096.97	$4,655.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,003.39 / $1,443.64 / $2,217.48	Facility		$1,003.39	$1,443.64	$2,217.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,003.39 / $2,023.80 / $14,246.00	Facility		$1,003.39	$2,023.80	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.27 / $2,005.98 / $8,447.06	Professional		$1,108.27	$2,005.98	$8,447.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $627.36 / $1,996.46	Professional		$66.47	$627.36	$1,996.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,003.39 / $1,443.64 / $2,217.48	Facility		$1,003.39	$1,443.64	$2,217.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,058.55 / $2,508.26 / $3,744.34	Professional		$2,058.55	$2,508.26	$3,744.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,088.30 / $6,088.30 / $6,088.30	Facility		$6,088.30	$6,088.30	$6,088.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,916.79 / $4,936.14 / $8,447.06	Professional		$1,916.79	$4,936.14	$8,447.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.24 / $3,317.24 / $3,317.24	Professional		$3,317.24	$3,317.24	$3,317.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,611.87 / $5,095.91 / $6,520.06	Professional		$2,611.87	$5,095.91	$6,520.06
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 $1,105.66 / $2,013.95 / $4,737.03	Professional		$1,105.66	$2,013.95	$4,737.03