Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.69 / $2,046.04 / $14,482.00	Facility		$1,266.69	$2,046.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.96 / $1,266.69 / $1,586.05	Professional		$725.96	$1,266.69	$1,586.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.84 / $2,502.23 / $6,914.67	Professional		$1,008.84	$2,502.23	$6,914.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,555.58 / $2,986.39 / $4,816.95	Facility		$2,555.58	$2,986.39	$4,816.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.76 / $3,089.72 / $4,091.77	Professional		$1,727.76	$3,089.72	$4,091.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.29 / $1,586.05 / $1,955.10	Facility		$1,000.29	$1,586.05	$1,955.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.99 / $3,364.00 / $7,868.00	Facility		$1,148.99	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,231.60 / $3,434.65 / $5,742.41	Professional		$1,231.60	$3,434.65	$5,742.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,140.40 / $2,539.88	Professional		$85.00	$1,140.40	$2,539.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,000.29 / $1,586.05 / $1,955.10	Facility		$1,000.29	$1,586.05	$1,955.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,607.92 / $2,655.54 / $3,719.52	Professional		$1,607.92	$2,655.54	$3,719.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,279.20 / $13,279.20 / $13,279.20	Facility		$13,279.20	$13,279.20	$13,279.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,773.62 / $4,200.66 / $7,593.44	Professional		$1,773.62	$4,200.66	$7,593.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,234.97 / $5,234.97 / $5,234.97	Professional		$5,234.97	$5,234.97	$5,234.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,491.57 / $6,923.61 / $6,923.61	Professional		$4,491.57	$6,923.61	$6,923.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.60 / $3,383.92 / $4,548.35	Professional		$1,231.60	$3,383.92	$4,548.35