Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.87 / $2,299.34 / $14,482.00	Facility		$1,419.87	$2,299.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.89 / $1,419.87 / $4,160.99	Professional		$798.89	$1,419.87	$4,160.99
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 $1,129.69 / $2,755.55 / $6,873.01	Professional		$1,129.69	$2,755.55	$6,873.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,852.95 / $3,333.89 / $5,377.45	Facility		$2,852.95	$3,333.89	$5,377.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,941.66 / $3,467.26 / $4,573.75	Professional		$1,941.66	$3,467.26	$4,573.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,124.11 / $1,788.53 / $2,433.50	Facility		$1,124.11	$1,788.53	$2,433.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,226.32 / $2,553.00 / $7,700.00	Facility		$1,226.32	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,396.23 / $3,430.66 / $6,643.60	Professional		$1,396.23	$3,430.66	$6,643.60
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 $1,124.11 / $1,788.53 / $2,433.50	Facility		$1,124.11	$1,788.53	$2,433.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,328.94 / $3,596.26 / $4,661.55	Professional		$2,328.94	$3,596.26	$4,661.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,303.36 / $12,303.36 / $12,303.36	Facility		$12,303.36	$12,303.36	$12,303.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,990.32 / $5,633.80 / $10,151.00	Professional		$1,990.32	$5,633.80	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,849.25 / $5,849.25 / $5,849.25	Professional		$5,849.25	$5,849.25	$5,849.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,221.04 / $7,769.52 / $7,769.52	Professional		$5,221.04	$7,769.52	$7,769.52
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 $1,367.88 / $3,430.66 / $5,558.27	Professional		$1,367.88	$3,430.66	$5,558.27