Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.42 / $2,472.26 / $14,482.00	Facility		$1,481.42	$2,472.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.14 / $1,481.42 / $3,962.39	Professional		$897.14	$1,481.42	$3,962.39
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 $1,114.63 / $3,159.81 / $7,158.57	Professional		$1,114.63	$3,159.81	$7,158.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,192.67 / $3,730.89 / $6,017.79	Facility		$3,192.67	$3,730.89	$6,017.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.18 / $3,728.63 / $5,040.91	Professional		$1,637.18	$3,728.63	$5,040.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,208.66 / $1,733.26 / $2,362.38	Facility		$1,208.66	$1,733.26	$2,362.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.54 / $5,266.00 / $15,126.00	Facility		$1,318.54	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,335.01 / $3,434.06 / $8,020.21	Professional		$1,335.01	$3,434.06	$8,020.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $751.50 / $2,354.46	Professional		$94.25	$751.50	$2,354.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,318.54 / $1,733.26 / $2,362.38	Facility		$1,318.54	$1,733.26	$2,362.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,354.94 / $3,623.00 / $4,413.35	Professional		$2,354.94	$3,623.00	$4,413.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,973.00 / $20,973.00 / $20,973.00	Facility		$20,973.00	$20,973.00	$20,973.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,695.75 / $5,650.90 / $9,013.76	Professional		$1,695.75	$5,650.90	$9,013.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,980.15 / $2,980.15 / $2,980.15	Professional		$2,980.15	$2,980.15	$2,980.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,804.09 / $7,276.82 / $7,276.82	Professional		$2,804.09	$7,276.82	$7,276.82
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 $1,245.24 / $3,393.74 / $5,051.89	Professional		$1,245.24	$3,393.74	$5,051.89