Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.93 / $2,111.76 / $14,482.00	Facility		$1,303.93	$2,111.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.74 / $1,303.93 / $4,358.63	Professional		$733.74	$1,303.93	$4,358.63
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 $1,029.23 / $2,531.86 / $6,313.14	Professional		$1,029.23	$2,531.86	$6,313.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,620.46 / $3,062.21 / $4,939.24	Facility		$2,620.46	$3,062.21	$4,939.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,783.26 / $3,184.32 / $4,725.01	Professional		$1,783.26	$3,184.32	$4,725.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,032.42 / $1,642.32 / $2,310.00	Facility		$1,032.42	$1,642.32	$2,310.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,199.59 / $2,553.00 / $7,700.00	Facility		$1,199.59	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,285.13 / $3,464.94 / $6,102.92	Professional		$1,285.13	$3,464.94	$6,102.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $1,187.90 / $2,388.36	Professional		$152.02	$1,187.90	$2,388.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,032.42 / $1,642.32 / $2,310.00	Facility		$1,032.42	$1,642.32	$2,310.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,138.50 / $3,302.17 / $4,281.17	Professional		$2,138.50	$3,302.17	$4,281.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,298.51 / $11,298.51 / $11,298.51	Facility		$11,298.51	$11,298.51	$11,298.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,827.92 / $5,332.77 / $10,151.00	Professional		$1,827.92	$5,332.77	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,372.73 / $5,372.73 / $5,372.73	Professional		$5,372.73	$5,372.73	$5,372.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,063.52 / $7,135.55 / $7,135.55	Professional		$5,063.52	$7,135.55	$7,135.55
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 $1,256.48 / $3,464.94 / $5,103.45	Professional		$1,256.48	$3,464.94	$5,103.45