Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.27 / $2,551.16 / $14,482.00	Facility		$1,569.27	$2,551.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.56 / $1,569.27 / $4,367.88	Professional		$854.56	$1,569.27	$4,367.88
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 $1,234.00 / $2,810.63 / $7,356.34	Professional		$1,234.00	$2,810.63	$7,356.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,192.67 / $3,730.89 / $6,017.79	Facility		$3,192.67	$3,730.89	$6,017.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.31 / $3,841.07 / $5,127.66	Professional		$2,154.31	$3,841.07	$5,127.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,247.24 / $1,958.60 / $2,730.00	Facility		$1,247.24	$1,958.60	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,431.28 / $2,803.00 / $7,700.00	Facility		$1,431.28	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,478.69 / $3,723.63 / $7,245.96	Professional		$1,478.69	$3,723.63	$7,245.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,133.84 / $2,868.39	Professional		$85.00	$1,133.84	$2,868.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,247.24 / $1,958.60 / $2,730.00	Facility		$1,247.24	$1,958.60	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,549.94 / $3,937.52 / $5,164.14	Professional		$2,549.94	$3,937.52	$5,164.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,012.64 / $24,012.64 / $24,012.64	Facility		$24,012.64	$24,012.64	$24,012.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,204.92 / $6,144.60 / $12,784.00	Professional		$2,204.92	$6,144.60	$12,784.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,447.73 / $6,447.73 / $6,447.73	Professional		$6,447.73	$6,447.73	$6,447.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,773.39 / $8,607.20 / $8,607.20	Professional		$5,773.39	$8,607.20	$8,607.20
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 $1,478.69 / $3,747.53 / $6,037.59	Professional		$1,478.69	$3,747.53	$6,037.59