Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,531.26 / $2,480.11 / $14,482.00	Facility		$1,531.26	$2,480.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.27 / $1,531.26 / $4,477.97	Professional		$860.27	$1,531.26	$4,477.97
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 $1,215.20 / $2,969.94 / $7,409.93	Professional		$1,215.20	$2,969.94	$7,409.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,077.32 / $3,596.10 / $5,800.38	Facility		$3,077.32	$3,596.10	$5,800.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,094.32 / $3,738.47 / $5,365.59	Professional		$2,094.32	$3,738.47	$5,365.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,212.50 / $1,928.15 / $2,620.33	Facility		$1,212.50	$1,928.15	$2,620.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,408.49 / $2,678.00 / $7,700.00	Facility		$1,408.49	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,506.33 / $4,017.99 / $7,153.39	Professional		$1,506.33	$4,017.99	$7,153.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,048.67 / $2,765.39	Professional		$105.27	$1,048.67	$2,765.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,212.50 / $1,928.15 / $2,620.33	Facility		$1,212.50	$1,928.15	$2,620.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,510.94 / $3,877.29 / $5,026.18	Professional		$2,510.94	$3,877.29	$5,026.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,206.30 / $16,206.30 / $16,206.30	Facility		$16,206.30	$16,206.30	$16,206.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,146.00 / $6,066.10 / $13,197.00	Professional		$2,146.00	$6,066.10	$13,197.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,306.18 / $6,306.18 / $6,306.18	Professional		$6,306.18	$6,306.18	$6,306.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,631.50 / $8,377.24 / $8,377.24	Professional		$5,631.50	$8,377.24	$8,377.24
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 $1,376.46 / $3,945.28 / $5,982.03	Professional		$1,376.46	$3,945.28	$5,982.03