Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.91 / $2,268.42 / $14,482.00	Facility		$1,364.91	$2,268.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.44 / $1,364.91 / $3,546.87	Professional		$808.44	$1,364.91	$3,546.87
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 $1,006.66 / $2,927.52 / $6,636.24	Professional		$1,006.66	$2,927.52	$6,636.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,959.28 / $3,458.15 / $5,577.87	Facility		$2,959.28	$3,458.15	$5,577.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,502.20 / $3,433.27 / $4,652.93	Professional		$1,502.20	$3,433.27	$4,652.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,109.01 / $1,596.94 / $2,625.00	Facility		$1,109.01	$1,596.94	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,209.83 / $5,266.00 / $15,126.00	Facility		$1,209.83	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,131.58 / $2,880.30 / $7,282.25	Professional		$1,131.58	$2,880.30	$7,282.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $650.93 / $2,144.20	Professional		$94.25	$650.93	$2,144.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,209.83 / $1,596.94 / $2,625.00	Facility		$1,209.83	$1,596.94	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,152.80 / $3,312.00 / $3,956.86	Professional		$2,152.80	$3,312.00	$3,956.86
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 $1,561.41 / $5,130.95 / $9,474.04	Professional		$1,561.41	$5,130.95	$9,474.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,762.70 / $2,762.70 / $2,762.70	Professional		$2,762.70	$2,762.70	$2,762.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,464.69 / $6,700.40 / $6,700.40	Professional		$2,464.69	$6,700.40	$6,700.40
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 $1,205.74 / $3,547.73 / $4,587.07	Professional		$1,205.74	$3,547.73	$4,587.07