Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.81 / $2,487.94 / $14,482.00	Facility		$1,471.81	$2,487.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.30 / $1,471.81 / $3,420.57	Professional		$771.30	$1,471.81	$3,420.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.32 / $3,134.46 / $7,084.46	Professional		$1,121.32	$3,134.46	$7,084.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,180.95 / $3,717.20 / $5,995.71	Facility		$3,180.95	$3,717.20	$5,995.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,647.57 / $3,716.96 / $5,069.55	Professional		$1,647.57	$3,716.96	$5,069.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,216.33 / $1,722.02 / $2,377.36	Facility		$1,216.33	$1,722.02	$2,377.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,326.90 / $5,266.00 / $15,126.00	Facility		$1,326.90	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,221.27 / $2,954.48 / $8,091.67	Professional		$1,221.27	$2,954.48	$8,091.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $752.19 / $2,354.46	Professional		$107.61	$752.19	$2,354.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,216.33 / $1,722.02 / $2,377.36	Facility		$1,216.33	$1,722.02	$2,377.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,371.19 / $3,648.00 / $4,472.42	Professional		$2,371.19	$3,648.00	$4,472.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,690.44 / $5,701.25 / $8,991.20	Professional		$1,690.44	$5,701.25	$8,991.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,949.29 / $2,949.29 / $2,949.29	Professional		$2,949.29	$2,949.29	$2,949.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,809.32 / $7,254.07 / $7,254.07	Professional		$2,809.32	$7,254.07	$7,254.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.46 / $3,325.02 / $5,096.92	Professional		$1,120.46	$3,325.02	$5,096.92