Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.61 / $2,730.82 / $14,482.00	Facility		$1,636.61	$2,730.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $986.87 / $1,636.61 / $3,856.60	Professional		$986.87	$1,636.61	$3,856.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.48 / $3,553.46 / $7,934.52	Professional		$1,142.48	$3,553.46	$7,934.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,544.11 / $4,141.57 / $6,680.20	Facility		$3,544.11	$4,141.57	$6,680.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,808.42 / $4,110.17 / $5,606.42	Professional		$1,808.42	$4,110.17	$5,606.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,335.07 / $1,711.50 / $3,412.35	Facility		$1,335.07	$1,711.50	$3,412.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,335.07 / $3,412.35 / $15,126.00	Facility		$1,335.07	$3,412.35	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,358.05 / $3,666.73 / $8,953.95	Professional		$1,358.05	$3,666.73	$8,953.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $819.96 / $2,727.01	Professional		$119.27	$819.96	$2,727.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,335.07 / $1,711.50 / $3,412.35	Facility		$1,335.07	$1,711.50	$3,412.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,610.40 / $4,016.00 / $4,748.12	Professional		$2,610.40	$4,016.00	$4,748.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,869.26 / $6,308.80 / $9,896.71	Professional		$1,869.26	$6,308.80	$9,896.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,303.20 / $3,303.20 / $3,303.20	Professional		$3,303.20	$3,303.20	$3,303.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,016.37 / $8,021.39 / $8,021.39	Professional		$3,016.37	$8,021.39	$8,021.39
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 $1,385.03 / $4,353.07 / $5,640.07	Professional		$1,385.03	$4,353.07	$5,640.07