Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.17 / $2,237.56 / $14,482.00	Facility		$1,493.17	$2,237.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.15 / $1,493.17 / $4,255.20	Professional		$821.15	$1,493.17	$4,255.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.08 / $2,881.34 / $7,176.01	Professional		$1,172.08	$2,881.34	$7,176.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,008.84 / $3,516.07 / $5,671.29	Facility		$3,008.84	$3,516.07	$5,671.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,889.49 / $3,636.29 / $4,914.66	Professional		$1,889.49	$3,636.29	$4,914.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,093.92 / $1,871.29 / $2,415.00	Facility		$1,093.92	$1,871.29	$2,415.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,269.99 / $2,609.80 / $7,700.00	Facility		$1,269.99	$2,609.80	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,446.53 / $3,626.87 / $6,916.07	Professional		$1,446.53	$3,626.87	$6,916.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $967.09 / $2,528.23	Professional		$105.27	$967.09	$2,528.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,093.92 / $1,871.29 / $2,415.00	Facility		$1,093.92	$1,871.29	$2,415.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,263.94 / $3,495.89 / $4,888.81	Professional		$2,263.94	$3,495.89	$4,888.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,703.60 / $15,703.60 / $15,703.60	Facility		$15,703.60	$15,703.60	$15,703.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,087.37 / $5,864.85 / $8,951.20	Professional		$2,087.37	$5,864.85	$8,951.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,107.06 / $6,107.06 / $6,107.06	Professional		$6,107.06	$6,107.06	$6,107.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,214.85 / $8,148.33 / $8,148.33	Professional		$5,214.85	$8,148.33	$8,148.33
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 $1,417.68 / $3,847.16 / $5,766.97	Professional		$1,417.68	$3,847.16	$5,766.97