Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.75 / $2,180.96 / $14,482.00	Facility		$1,296.75	$2,180.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.23 / $1,296.75 / $3,685.89	Professional		$830.23	$1,296.75	$3,685.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,034.51 / $2,847.74 / $6,250.36	Professional		$1,034.51	$2,847.74	$6,250.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,770.94 / $3,238.07 / $5,222.89	Facility		$2,770.94	$3,238.07	$5,222.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.28 / $3,270.58 / $4,396.66	Professional		$1,444.28	$3,270.58	$4,396.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $1,511.91 / $2,084.04	Facility		$1,066.25	$1,511.91	$2,084.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,181.90 / $4,240.00 / $12,631.00	Facility		$1,181.90	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,227.07 / $3,380.49 / $7,311.49	Professional		$1,227.07	$3,380.49	$7,311.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $880.47 / $2,262.26	Professional		$85.00	$880.47	$2,262.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $1,511.91 / $2,084.04	Facility		$1,066.25	$1,511.91	$2,084.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,091.05 / $3,228.90 / $4,158.80	Professional		$2,091.05	$3,228.90	$4,158.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,644.00 / $11,644.00 / $11,644.00	Facility		$11,644.00	$11,644.00	$11,644.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,487.43 / $5,151.55 / $7,977.04	Professional		$1,487.43	$5,151.55	$7,977.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,602.08 / $2,602.08 / $2,602.08	Professional		$2,602.08	$2,602.08	$2,602.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,473.69 / $6,382.87 / $6,382.87	Professional		$2,473.69	$6,382.87	$6,382.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,227.07 / $3,380.49 / $4,699.18	Professional		$1,227.07	$3,380.49	$4,699.18