Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.80 / $2,077.98 / $14,482.00	Facility		$1,282.80	$2,077.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.69 / $1,282.80 / $3,723.94	Professional		$721.69	$1,282.80	$3,723.94
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 $1,018.34 / $2,489.64 / $6,207.57	Professional		$1,018.34	$2,489.64	$6,207.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,578.10 / $3,012.72 / $4,859.41	Facility		$2,578.10	$3,012.72	$4,859.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,754.75 / $3,132.49 / $4,134.93	Professional		$1,754.75	$3,132.49	$4,134.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,015.91 / $1,615.64 / $2,355.00	Facility		$1,015.91	$1,615.64	$2,355.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,180.58 / $2,553.00 / $7,700.00	Facility		$1,180.58	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,263.97 / $3,259.70 / $6,002.45	Professional		$1,263.97	$3,259.70	$6,002.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $1,143.28 / $2,386.46	Professional		$152.02	$1,143.28	$2,386.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,015.91 / $1,615.64 / $2,355.00	Facility		$1,015.91	$1,615.64	$2,355.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,104.69 / $3,249.98 / $4,211.47	Professional		$2,104.69	$3,249.98	$4,211.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,113.29 / $11,113.29 / $11,113.29	Facility		$11,113.29	$11,113.29	$11,113.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,798.16 / $5,135.22 / $9,728.00	Professional		$1,798.16	$5,135.22	$9,728.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,282.88 / $5,282.88 / $5,282.88	Professional		$5,282.88	$5,282.88	$5,282.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,718.42 / $7,019.36 / $7,019.36	Professional		$4,718.42	$7,019.36	$7,019.36
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 $1,235.81 / $3,259.70 / $5,020.91	Professional		$1,235.81	$3,259.70	$5,020.91