Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.48 / $2,408.38 / $14,482.00	Facility		$1,443.48	$2,408.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.24 / $1,443.48 / $3,853.52	Professional		$873.24	$1,443.48	$3,853.52
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 $1,086.27 / $3,076.72 / $6,972.55	Professional		$1,086.27	$3,076.72	$6,972.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,112.47 / $3,637.17 / $5,866.62	Facility		$3,112.47	$3,637.17	$5,866.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,594.87 / $3,631.82 / $4,912.06	Professional		$1,594.87	$3,631.82	$4,912.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,177.43 / $1,688.87 / $2,301.34	Facility		$1,177.43	$1,688.87	$2,301.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,284.47 / $5,266.00 / $15,126.00	Facility		$1,284.47	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,298.94 / $3,328.53 / $7,805.83	Professional		$1,298.94	$3,328.53	$7,805.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $724.70 / $2,286.10	Professional		$94.25	$724.70	$2,286.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,284.47 / $1,688.87 / $2,301.34	Facility		$1,284.47	$1,688.87	$2,301.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,294.50 / $3,530.00 / $4,287.55	Professional		$2,294.50	$3,530.00	$4,287.55
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 $1,651.71 / $5,499.85 / $8,776.24	Professional		$1,651.71	$5,499.85	$8,776.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,902.72 / $2,902.72 / $2,902.72	Professional		$2,902.72	$2,902.72	$2,902.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,724.32 / $7,087.86 / $7,087.86	Professional		$2,724.32	$7,087.86	$7,087.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,687.66 / $11,608.00 / $13,980.00	Facility		$4,687.66	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.96 / $3,674.92 / $4,916.87	Professional		$1,177.96	$3,674.92	$4,916.87