Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.92 / $2,050.96 / $14,482.00	Facility		$1,232.92	$2,050.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.87 / $1,232.92 / $2,935.62	Professional		$674.87	$1,232.92	$2,935.62
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 $917.56 / $2,626.94 / $5,963.15	Professional		$917.56	$2,626.94	$5,963.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.21 / $3,107.49 / $5,012.27	Facility		$2,659.21	$3,107.49	$5,012.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.19 / $3,098.34 / $4,190.50	Professional		$1,358.19	$3,098.34	$4,190.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,002.69 / $1,442.52 / $2,119.50	Facility		$1,002.69	$1,442.52	$2,119.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,093.84 / $5,266.00 / $15,126.00	Facility		$1,093.84	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,053.18 / $2,844.62 / $6,616.61	Professional		$1,053.18	$2,844.62	$6,616.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $622.06 / $1,999.02	Professional		$85.00	$622.06	$1,999.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,093.84 / $1,486.99 / $2,119.50	Facility		$1,093.84	$1,486.99	$2,119.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,951.95 / $3,003.00 / $3,607.72	Professional		$1,951.95	$3,003.00	$3,607.72
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 $1,409.10 / $4,661.95 / $7,476.88	Professional		$1,409.10	$4,661.95	$7,476.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,482.48 / $2,482.48 / $2,482.48	Professional		$2,482.48	$2,482.48	$2,482.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.69 / $6,046.76 / $6,046.76	Professional		$2,135.69	$6,046.76	$6,046.76
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.03 / $2,786.54 / $4,118.24	Professional		$1,003.03	$2,786.54	$4,118.24