Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.19 / $2,491.11 / $14,482.00	Facility		$1,480.19	$2,491.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.82 / $1,480.19 / $4,214.50	Professional		$948.82	$1,480.19	$4,214.50
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 $1,183.84 / $3,249.95 / $7,135.73	Professional		$1,183.84	$3,249.95	$7,135.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,159.33 / $3,691.92 / $5,954.94	Facility		$3,159.33	$3,691.92	$5,954.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,649.66 / $3,732.52 / $5,019.43	Professional		$1,649.66	$3,732.52	$5,019.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,217.88 / $1,657.39 / $2,380.39	Facility		$1,217.88	$1,657.39	$2,380.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,350.94 / $6,073.00 / $13,918.00	Facility		$1,350.94	$6,073.00	$13,918.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,405.13 / $3,870.80 / $8,366.73	Professional		$1,405.13	$3,870.80	$8,366.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $998.38 / $2,614.20	Professional		$85.00	$998.38	$2,614.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,217.88 / $1,657.39 / $2,380.39	Facility		$1,217.88	$1,657.39	$2,380.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,390.05 / $3,690.60 / $4,762.00	Professional		$2,390.05	$3,690.60	$4,762.00
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 $1,697.51 / $5,895.05 / $9,109.12	Professional		$1,697.51	$5,895.05	$9,109.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,970.65 / $2,970.65 / $2,970.65	Professional		$2,970.65	$2,970.65	$2,970.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,825.47 / $7,284.36 / $7,284.36	Professional		$2,825.47	$7,284.36	$7,284.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,391.69 / $3,595.23 / $5,913.54	Professional		$1,391.69	$3,595.23	$5,913.54