Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.56 / $2,205.25 / $14,482.00	Facility		$1,361.56	$2,205.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.56 / $1,361.56 / $4,234.52	Professional		$799.56	$1,361.56	$4,234.52
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 $1,126.33 / $2,722.23 / $6,591.66	Professional		$1,126.33	$2,722.23	$6,591.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,735.80 / $3,197.00 / $5,156.64	Facility		$2,735.80	$3,197.00	$5,156.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.20 / $3,324.79 / $4,780.56	Professional		$1,862.20	$3,324.79	$4,780.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,078.11 / $1,576.88 / $2,433.50	Facility		$1,078.11	$1,576.88	$2,433.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,239.00 / $2,553.00 / $7,700.00	Facility		$1,239.00	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,367.08 / $3,527.69 / $10,151.00	Professional		$1,367.08	$3,527.69	$10,151.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $944.10 / $2,528.23	Professional		$85.00	$944.10	$2,528.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,078.11 / $1,576.88 / $2,433.50	Facility		$1,078.11	$1,576.88	$2,433.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,232.75 / $3,447.71 / $4,470.03	Professional		$2,232.75	$3,447.71	$4,470.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,795.22 / $11,795.22 / $11,795.22	Facility		$11,795.22	$11,795.22	$11,795.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,908.55 / $5,644.90 / $10,151.00	Professional		$1,908.55	$5,644.90	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,609.77 / $5,609.77 / $5,609.77	Professional		$5,609.77	$5,609.77	$5,609.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,034.92 / $7,450.35 / $7,450.35	Professional		$5,034.92	$7,450.35	$7,450.35
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 $1,409.88 / $3,970.57 / $5,778.03	Professional		$1,409.88	$3,970.57	$5,778.03