Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.53 / $2,428.21 / $14,482.00	Facility		$1,498.53	$2,428.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,498.53 / $4,638.74	Professional		$876.09	$1,498.53	$4,638.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,181.93 / $2,917.57 / $7,248.23	Professional		$1,181.93	$2,917.57	$7,248.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,036.77 / $3,548.71 / $5,723.95	Facility		$3,036.77	$3,548.71	$5,723.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,050.48 / $3,659.56 / $4,871.57	Professional		$2,050.48	$3,659.56	$4,871.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,187.13 / $1,873.06 / $2,620.60	Facility		$1,187.13	$1,873.06	$2,620.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,364.84 / $2,803.00 / $7,700.00	Facility		$1,364.84	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,450.96 / $3,569.95 / $6,946.90	Professional		$1,450.96	$3,569.95	$6,946.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,079.21 / $2,738.03	Professional		$85.00	$1,079.21	$2,738.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,187.13 / $1,873.06 / $2,620.60	Facility		$1,187.13	$1,873.06	$2,620.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,431.65 / $3,754.84 / $4,920.10	Professional		$2,431.65	$3,754.84	$4,920.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,909.76 / $22,909.76 / $22,909.76	Facility		$22,909.76	$22,909.76	$22,909.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,100.71 / $6,081.54 / $15,065.15	Professional		$2,100.71	$6,081.54	$15,065.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,168.53 / $6,168.53 / $6,168.53	Professional		$6,168.53	$6,168.53	$6,168.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,263.30 / $8,200.43 / $8,200.43	Professional		$4,263.30	$8,200.43	$8,200.43
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 $1,419.34 / $3,589.40 / $5,777.58	Professional		$1,419.34	$3,589.40	$5,777.58