Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.04 / $2,510.17 / $14,482.00	Facility		$1,548.04	$2,510.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.13 / $1,548.04 / $4,557.93	Professional		$871.13	$1,548.04	$4,557.93
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 $1,222.94 / $2,999.24 / $7,484.07	Professional		$1,222.94	$2,999.24	$7,484.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,114.27 / $3,639.27 / $5,870.02	Facility		$3,114.27	$3,639.27	$5,870.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,119.69 / $3,782.19 / $4,996.74	Professional		$2,119.69	$3,782.19	$4,996.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,227.19 / $1,948.70 / $2,720.07	Facility		$1,227.19	$1,948.70	$2,720.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,424.93 / $2,738.08 / $7,700.00	Facility		$1,424.93	$2,738.08	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,522.18 / $3,907.58 / $7,228.62	Professional		$1,522.18	$3,907.58	$7,228.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,056.94 / $2,834.80	Professional		$105.27	$1,056.94	$2,834.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,227.19 / $1,948.70 / $2,720.07	Facility		$1,227.19	$1,948.70	$2,720.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,540.19 / $3,922.46 / $5,084.97	Professional		$2,540.19	$3,922.46	$5,084.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,392.97 / $16,392.97 / $16,392.97	Facility		$16,392.97	$16,392.97	$16,392.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,171.12 / $6,215.97 / $11,420.00	Professional		$2,171.12	$6,215.97	$11,420.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,369.28 / $6,369.28 / $6,369.28	Professional		$6,369.28	$6,369.28	$6,369.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,699.75 / $8,475.26 / $8,475.26	Professional		$5,699.75	$8,475.26	$8,475.26
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 $1,487.59 / $3,988.50 / $6,054.26	Professional		$1,487.59	$3,988.50	$6,054.26