Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,524.56 / $2,561.31 / $14,482.00	Facility		$1,524.56	$2,561.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.66 / $1,524.56 / $4,336.29	Professional		$988.66	$1,524.56	$4,336.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.75 / $3,395.29 / $7,349.77	Professional		$1,237.75	$3,395.29	$7,349.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,288.19 / $3,842.51 / $6,197.83	Facility		$3,288.19	$3,842.51	$6,197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,696.15 / $3,843.26 / $5,215.58	Professional		$1,696.15	$3,843.26	$5,215.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,252.20 / $1,648.50 / $2,447.46	Facility		$1,252.20	$1,648.50	$2,447.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,366.03 / $4,103.00 / $8,384.00	Facility		$1,366.03	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,437.88 / $3,726.10 / $8,640.58	Professional		$1,437.88	$3,726.10	$8,640.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $779.00 / $2,501.93	Professional		$107.61	$779.00	$2,501.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,252.20 / $1,648.50 / $2,447.46	Facility		$1,252.20	$1,648.50	$2,447.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,442.05 / $3,770.90 / $5,037.71	Professional		$2,442.05	$3,770.90	$5,037.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,282.93 / $10,282.93 / $10,282.93	Facility		$10,282.93	$10,282.93	$10,282.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,747.87 / $6,088.00 / $9,298.40	Professional		$1,747.87	$6,088.00	$9,298.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,059.74 / $3,059.74 / $3,059.74	Professional		$3,059.74	$3,059.74	$3,059.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,905.09 / $7,500.48 / $7,500.48	Professional		$2,905.09	$7,500.48	$7,500.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.88 / $3,444.19 / $5,442.67	Professional		$1,437.88	$3,444.19	$5,442.67