Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.94 / $2,472.10 / $14,482.00	Facility		$1,530.94	$2,472.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.02 / $1,530.94 / $4,503.26	Professional		$877.02	$1,530.94	$4,503.26
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 $1,226.05 / $2,985.03 / $7,419.59	Professional		$1,226.05	$2,985.03	$7,419.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,088.14 / $3,608.73 / $5,820.76	Facility		$3,088.14	$3,608.73	$5,820.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,087.55 / $3,743.17 / $5,177.77	Professional		$2,087.55	$3,743.17	$5,177.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,208.58 / $1,923.85 / $2,744.32	Facility		$1,208.58	$1,923.85	$2,744.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,400.38 / $2,744.32 / $7,700.00	Facility		$1,400.38	$2,744.32	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,508.57 / $3,889.85 / $7,164.00	Professional		$1,508.57	$3,889.85	$7,164.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,045.79 / $2,767.60	Professional		$105.27	$1,045.79	$2,767.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,208.58 / $1,923.85 / $2,744.32	Facility		$1,208.58	$1,923.85	$2,744.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,496.00 / $3,854.21 / $5,032.51	Professional		$2,496.00	$3,854.21	$5,032.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,545.28 / $23,545.28 / $23,545.28	Facility		$23,545.28	$23,545.28	$23,545.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,148.69 / $6,075.10 / $10,574.00	Professional		$2,148.69	$6,075.10	$10,574.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,314.37 / $6,314.37 / $6,314.37	Professional		$6,314.37	$6,314.37	$6,314.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,694.86 / $8,387.79 / $8,387.79	Professional		$3,694.86	$8,387.79	$8,387.79
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 $1,471.56 / $3,889.85 / $6,218.38	Professional		$1,471.56	$3,889.85	$6,218.38