Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.80 / $2,456.64 / $14,482.00	Facility		$1,501.80	$2,456.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.12 / $1,501.80 / $3,106.54	Professional		$707.12	$1,501.80	$3,106.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.60 / $2,689.80 / $6,958.32	Professional		$1,156.60	$2,689.80	$6,958.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,082.73 / $3,602.42 / $5,810.57	Facility		$3,082.73	$3,602.42	$5,810.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,074.51 / $3,692.82 / $4,959.33	Professional		$2,074.51	$3,692.82	$4,959.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,201.02 / $1,882.17 / $2,433.50	Facility		$1,201.02	$1,882.17	$2,433.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,310.21 / $8,791.00 / $16,779.00	Facility		$1,310.21	$8,791.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,320.06 / $3,203.35 / $6,777.15	Professional		$1,320.06	$3,203.35	$6,777.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $883.26 / $2,813.82	Professional		$89.09	$883.26	$2,813.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,201.02 / $1,882.17 / $2,433.50	Facility		$1,201.02	$1,882.17	$2,433.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,553.85 / $3,943.54 / $4,964.82	Professional		$2,553.85	$3,943.54	$4,964.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,119.81 / $5,747.05 / $9,106.16	Professional		$2,119.81	$5,747.05	$9,106.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,098.87 / $6,098.87 / $6,098.87	Professional		$6,098.87	$6,098.87	$6,098.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,716.91 / $8,275.00 / $8,275.00	Professional		$4,716.91	$8,275.00	$8,275.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,721.00 / $17,327.00	Facility		$8,627.00	$13,721.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.98 / $3,482.71 / $5,692.25	Professional		$1,224.98	$3,482.71	$5,692.25