Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.08 / $2,777.63 / $14,482.00	Facility		$1,715.08	$2,777.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.67 / $1,715.08 / $4,859.08	Professional		$998.67	$1,715.08	$4,859.08
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 $1,407.20 / $3,328.65 / $8,303.61	Professional		$1,407.20	$3,328.65	$8,303.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,446.78 / $4,027.84 / $6,496.76	Facility		$3,446.78	$4,027.84	$6,496.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,345.55 / $4,188.91 / $5,526.19	Professional		$2,345.55	$4,188.91	$5,526.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,357.95 / $1,970.08 / $2,671.53	Facility		$1,357.95	$1,970.08	$2,671.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,577.41 / $2,803.00 / $7,868.00	Facility		$1,577.41	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,651.96 / $4,694.81 / $7,966.95	Professional		$1,651.96	$4,694.81	$7,966.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $963.93 / $3,013.88	Professional		$97.62	$963.93	$3,013.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,357.95 / $1,970.08 / $2,671.53	Facility		$1,357.95	$1,970.08	$2,671.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,811.90 / $4,342.01 / $5,631.79	Professional		$2,811.90	$4,342.01	$5,631.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,864.40 / $14,864.40 / $14,864.40	Facility		$14,864.40	$14,864.40	$14,864.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,404.59 / $6,804.45 / $10,360.24	Professional		$2,404.59	$6,804.45	$10,360.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,066.72 / $7,066.72 / $7,066.72	Professional		$7,066.72	$7,066.72	$7,066.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,307.06 / $9,386.70 / $9,386.70	Professional		$6,307.06	$9,386.70	$9,386.70
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 $1,651.96 / $4,819.74 / $7,966.95	Professional		$1,651.96	$4,819.74	$7,966.95