Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.39 / $2,466.17 / $14,482.00	Facility		$1,521.39	$2,466.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.77 / $1,521.39 / $4,469.68	Professional		$831.77	$1,521.39	$4,469.68
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 $1,200.54 / $2,962.40 / $7,358.08	Professional		$1,200.54	$2,962.40	$7,358.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,083.63 / $3,603.47 / $5,812.27	Facility		$3,083.63	$3,603.47	$5,812.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.55 / $3,716.66 / $4,956.14	Professional		$2,082.55	$3,716.66	$4,956.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,205.69 / $1,901.78 / $2,662.39	Facility		$1,205.69	$1,901.78	$2,662.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,386.65 / $2,803.00 / $7,700.00	Facility		$1,386.65	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,470.36 / $3,625.06 / $7,054.15	Professional		$1,470.36	$3,625.06	$7,054.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,101.23 / $2,796.94	Professional		$85.00	$1,101.23	$2,796.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,205.69 / $1,901.78 / $2,662.39	Facility		$1,205.69	$1,901.78	$2,662.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,470.65 / $3,815.06 / $4,996.85	Professional		$2,470.65	$3,815.06	$4,996.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,270.56 / $23,270.56 / $23,270.56	Facility		$23,270.56	$23,270.56	$23,270.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,133.50 / $5,981.95 / $10,654.00	Professional		$2,133.50	$5,981.95	$10,654.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,262.01 / $6,262.01 / $6,262.01	Professional		$6,262.01	$6,262.01	$6,262.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,599.87 / $8,328.45 / $8,328.45	Professional		$5,599.87	$8,328.45	$8,328.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,441.37 / $3,663.12 / $5,869.12	Professional		$1,441.37	$3,663.12	$5,869.12