Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,696.83 / $2,745.16 / $14,482.00	Facility		$1,696.83	$2,745.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.15 / $1,696.83 / $5,138.76	Professional		$988.15	$1,696.83	$5,138.76
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 $1,396.08 / $3,295.73 / $8,215.68	Professional		$1,396.08	$3,295.73	$8,215.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,406.23 / $3,980.45 / $6,420.33	Facility		$3,406.23	$3,980.45	$6,420.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,318.13 / $4,141.51 / $5,458.57	Professional		$2,318.13	$4,141.51	$5,458.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,342.08 / $1,954.51 / $2,623.15	Facility		$1,342.08	$1,954.51	$2,623.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,464.08 / $2,678.00 / $7,700.00	Facility		$1,464.08	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,674.37 / $4,319.14 / $7,951.38	Professional		$1,674.37	$4,319.14	$7,951.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $958.89 / $2,980.36	Professional		$97.62	$958.89	$2,980.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,342.08 / $1,954.51 / $2,623.15	Facility		$1,342.08	$1,954.51	$2,623.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,781.35 / $4,294.83 / $5,568.06	Professional		$2,781.35	$4,294.83	$5,568.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,970.25 / $17,970.25 / $17,970.25	Facility		$17,970.25	$17,970.25	$17,970.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,377.37 / $6,936.95 / $10,248.32	Professional		$2,377.37	$6,936.95	$10,248.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,991.90 / $6,991.90 / $6,991.90	Professional		$6,991.90	$6,991.90	$6,991.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,237.43 / $9,280.45 / $9,280.45	Professional		$6,237.43	$9,280.45	$9,280.45
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 $1,637.59 / $4,802.76 / $6,901.82	Professional		$1,637.59	$4,802.76	$6,901.82