Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.77 / $2,635.67 / $14,482.00	Facility		$1,627.77	$2,635.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $914.47 / $1,627.77 / $4,762.46	Professional		$914.47	$1,627.77	$4,762.46
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 $1,288.47 / $3,157.74 / $7,878.11	Professional		$1,288.47	$3,157.74	$7,878.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,270.16 / $3,821.45 / $6,163.86	Facility		$3,270.16	$3,821.45	$6,163.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,225.67 / $3,973.94 / $5,738.59	Professional		$2,225.67	$3,973.94	$5,738.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.55 / $2,050.03 / $2,625.00	Facility		$1,288.55	$2,050.03	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,497.12 / $2,678.00 / $7,700.00	Facility		$1,497.12	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,602.41 / $4,290.93 / $7,609.64	Professional		$1,602.41	$4,290.93	$7,609.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,138.46 / $3,038.29	Professional		$105.27	$1,138.46	$3,038.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,288.55 / $2,050.03 / $2,625.00	Facility		$1,288.55	$2,050.03	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,668.90 / $4,121.18 / $5,342.76	Professional		$2,668.90	$4,121.18	$5,342.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,096.07 / $14,096.07 / $14,096.07	Facility		$14,096.07	$14,096.07	$14,096.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,281.19 / $6,453.00 / $9,826.95	Professional		$2,281.19	$6,453.00	$9,826.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,704.62 / $6,704.62 / $6,704.62	Professional		$6,704.62	$6,704.62	$6,704.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,984.73 / $8,904.96 / $8,904.96	Professional		$5,984.73	$8,904.96	$8,904.96
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 $1,566.67 / $4,293.14 / $6,361.65	Professional		$1,566.67	$4,293.14	$6,361.65