Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,329.53 / $2,153.44 / $14,482.00	Facility		$1,329.53	$2,153.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.79 / $1,329.53 / $4,438.83	Professional		$747.79	$1,329.53	$4,438.83
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 $1,054.24 / $2,580.36 / $6,434.15	Professional		$1,054.24	$2,580.36	$6,434.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,670.02 / $3,120.13 / $5,032.66	Facility		$2,670.02	$3,120.13	$5,032.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,818.47 / $3,245.29 / $4,690.68	Professional		$1,818.47	$3,245.29	$4,690.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,674.71 / $2,363.40	Facility		$1,052.80	$1,674.71	$2,363.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,223.90 / $2,803.00 / $7,700.00	Facility		$1,223.90	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,309.84 / $3,498.34 / $6,220.31	Professional		$1,309.84	$3,498.34	$6,220.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $916.36 / $2,440.89	Professional		$85.00	$916.36	$2,440.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,052.80 / $1,674.71 / $2,363.40	Facility		$1,052.80	$1,674.71	$2,363.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,182.05 / $3,369.42 / $4,363.14	Professional		$2,182.05	$3,369.42	$4,363.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,515.32 / $11,515.32 / $11,515.32	Facility		$11,515.32	$11,515.32	$11,515.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.92 / $5,300.87 / $11,843.00	Professional		$1,862.92	$5,300.87	$11,843.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.70 / $5,475.70 / $5,475.70	Professional		$5,475.70	$5,475.70	$5,475.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,126.42 / $7,272.18 / $7,272.18	Professional		$3,126.42	$7,272.18	$7,272.18
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 $1,280.74 / $3,425.50 / $5,202.22	Professional		$1,280.74	$3,425.50	$5,202.22