Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.49 / $2,318.56 / $14,482.00	Facility		$1,431.49	$2,318.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.85 / $1,431.49 / $4,792.93	Professional		$803.85	$1,431.49	$4,792.93
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 $1,135.08 / $2,563.86 / $6,725.69	Professional		$1,135.08	$2,563.86	$6,725.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,878.18 / $3,363.38 / $5,425.01	Facility		$2,878.18	$3,363.38	$5,425.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,957.90 / $3,495.66 / $4,964.82	Professional		$1,957.90	$3,495.66	$4,964.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,133.52 / $1,801.96 / $2,550.57	Facility		$1,133.52	$1,801.96	$2,550.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,315.98 / $2,625.00 / $7,700.00	Facility		$1,315.98	$2,625.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,407.44 / $3,739.09 / $6,683.76	Professional		$1,407.44	$3,739.09	$6,683.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $983.98 / $2,613.37	Professional		$105.27	$983.98	$2,613.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,133.52 / $1,801.96 / $2,550.57	Facility		$1,133.52	$1,801.96	$2,550.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,345.85 / $3,622.35 / $4,699.72	Professional		$2,345.85	$3,622.35	$4,699.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,151.18 / $15,151.18 / $15,151.18	Facility		$15,151.18	$15,151.18	$15,151.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,006.63 / $5,667.85 / $10,151.00	Professional		$2,006.63	$5,667.85	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,894.98 / $5,894.98 / $5,894.98	Professional		$5,894.98	$5,894.98	$5,894.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,264.67 / $7,833.23 / $7,833.23	Professional		$5,264.67	$7,833.23	$7,833.23
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 $1,360.28 / $3,739.09 / $5,801.52	Professional		$1,360.28	$3,739.09	$5,801.52