Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.23 / $2,097.27 / $14,482.00	Facility		$1,259.23	$2,097.27	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $629.62 / $1,048.64 / $1,868.90	Facility	52	$629.62	$1,048.64	$1,868.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,259.23 / $5,914.40	Professional		$907.79	$1,259.23	$5,914.40
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 $949.77 / $2,690.06 / $6,084.96	Professional		$949.77	$2,690.06	$6,084.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,716.88 / $3,174.89 / $5,120.97	Facility		$2,716.88	$3,174.89	$5,120.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.85 / $3,169.14 / $4,277.83	Professional		$1,388.85	$3,169.14	$4,277.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,118.54 / $1,520.46 / $3,134.52	Facility		$1,118.54	$1,520.46	$3,134.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,118.54 / $3,134.52 / $15,126.00	Facility		$1,118.54	$3,134.52	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,135.27 / $2,934.88 / $6,824.96	Professional		$1,135.27	$2,934.88	$6,824.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $622.06 / $2,059.53	Professional		$85.00	$622.06	$2,059.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,118.54 / $1,520.46 / $3,134.52	Facility		$1,118.54	$1,520.46	$3,134.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,998.10 / $3,074.00 / $3,759.84	Professional		$1,998.10	$3,074.00	$3,759.84
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 Facility Modifier 52 Low / Median / High Price $12,547.52 / $12,547.52 / $12,547.52	Facility	52	$12,547.52	$12,547.52	$12,547.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,441.29 / $4,808.75 / $7,671.04	Professional		$1,441.29	$4,808.75	$7,671.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,401.58 / $6,184.88 / $6,184.88	Professional		$2,401.58	$6,184.88	$6,184.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $14,978.00	Facility		$7,301.00	$11,799.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.02 / $2,884.36 / $4,299.02	Professional		$1,054.02	$2,884.36	$4,299.02