Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.62 / $2,231.51 / $14,482.00	Facility		$1,338.62	$2,231.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.46 / $1,338.62 / $3,551.11	Professional		$805.46	$1,338.62	$3,551.11
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 $1,000.21 / $2,850.92 / $6,467.20	Professional		$1,000.21	$2,850.92	$6,467.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,889.89 / $3,377.07 / $5,447.09	Facility		$2,889.89	$3,377.07	$5,447.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.75 / $3,367.16 / $4,557.01	Professional		$1,477.75	$3,367.16	$4,557.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,090.96 / $1,566.19 / $2,132.33	Facility		$1,090.96	$1,566.19	$2,132.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.14 / $5,266.00 / $15,126.00	Facility		$1,190.14	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,197.06 / $3,135.84 / $7,201.85	Professional		$1,197.06	$3,135.84	$7,201.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $677.10 / $2,202.43	Professional		$94.25	$677.10	$2,202.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,190.14 / $1,614.74 / $2,132.33	Facility		$1,190.14	$1,614.74	$2,132.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,123.55 / $3,267.00 / $3,945.46	Professional		$2,123.55	$3,267.00	$3,945.46
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 $1,531.35 / $5,074.30 / $8,127.20	Professional		$1,531.35	$5,074.30	$8,127.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,692.34 / $2,692.34 / $2,692.34	Professional		$2,692.34	$2,692.34	$2,692.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,495.91 / $6,571.37 / $6,571.37	Professional		$2,495.91	$6,571.37	$6,571.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $15,126.00	Facility		$7,217.00	$11,733.00	$15,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.97 / $3,024.14 / $4,927.22	Professional		$992.97	$3,024.14	$4,927.22