Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.92 / $2,316.65 / $14,482.00	Facility		$1,430.92	$2,316.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.40 / $1,430.92 / $4,194.45	Professional		$805.40	$1,430.92	$4,194.45
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 $1,136.50 / $2,777.05 / $6,926.38	Professional		$1,136.50	$2,777.05	$6,926.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,874.57 / $3,359.17 / $5,418.22	Facility		$2,874.57	$3,359.17	$5,418.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,956.27 / $3,494.16 / $5,020.80	Professional		$1,956.27	$3,494.16	$5,020.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,132.58 / $1,591.10 / $2,552.10	Facility		$1,132.58	$1,591.10	$2,552.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $2,636.03 / $7,700.00	Facility		$1,302.00	$2,636.03	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,378.37 / $3,696.93 / $10,432.33	Professional		$1,378.37	$3,696.93	$10,432.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $985.56 / $2,613.37	Professional		$105.27	$985.56	$2,613.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,132.58 / $1,591.10 / $2,552.10	Facility		$1,132.58	$1,591.10	$2,552.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,345.85 / $3,622.35 / $4,697.72	Professional		$2,345.85	$3,622.35	$4,697.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,154.92 / $15,154.92 / $15,154.92	Facility		$15,154.92	$15,154.92	$15,154.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,005.78 / $5,677.15 / $10,997.00	Professional		$2,005.78	$5,677.15	$10,997.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,894.66 / $5,894.66 / $5,894.66	Professional		$5,894.66	$5,894.66	$5,894.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,260.33 / $7,829.84 / $7,829.84	Professional		$5,260.33	$7,829.84	$7,829.84
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 $1,378.37 / $3,696.93 / $5,811.04	Professional		$1,378.37	$3,696.93	$5,811.04