Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.69 / $2,244.26 / $14,482.00	Facility		$1,064.69	$2,244.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,020.20 / $1,109.45 / $4,972.87	Professional		$1,020.20	$1,109.45	$4,972.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,039.51 / $2,259.92 / $6,247.07	Professional		$1,039.51	$2,259.92	$6,247.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,838.53 / $3,317.04 / $5,088.43	Facility		$2,838.53	$3,317.04	$5,088.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.99 / $4,348.52 / $4,941.50	Professional		$1,603.99	$4,348.52	$4,941.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $997.45 / $1,378.35 / $2,352.96	Facility		$997.45	$1,378.35	$2,352.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,014.79 / $2,194.19 / $15,090.00	Facility		$1,014.79	$2,194.19	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,126.85 / $2,091.10 / $8,121.36	Professional		$1,126.85	$2,091.10	$8,121.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $659.20 / $2,109.82	Professional		$94.25	$659.20	$2,109.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $997.45 / $1,276.74 / $2,352.96	Facility		$997.45	$1,276.74	$2,352.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,180.10 / $2,656.37 / $3,965.43	Professional		$2,180.10	$2,656.37	$3,965.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,034.47 / $5,201.75 / $8,121.36	Professional		$2,034.47	$5,201.75	$8,121.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,518.30 / $3,518.30 / $3,518.30	Professional		$3,518.30	$3,518.30	$3,518.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,707.38 / $5,396.42 / $6,920.36	Professional		$2,707.38	$5,396.42	$6,920.36
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 $1,082.08 / $2,180.00 / $4,733.59	Professional		$1,082.08	$2,180.00	$4,733.59