Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.03 / $2,355.57 / $14,482.00	Facility		$1,455.03	$2,355.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.27 / $1,455.03 / $4,245.39	Professional		$815.27	$1,455.03	$4,245.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,151.43 / $2,820.27 / $7,041.32	Professional		$1,151.43	$2,820.27	$7,041.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,925.04 / $3,418.14 / $5,513.33	Facility		$2,925.04	$3,418.14	$5,513.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,989.14 / $3,552.35 / $4,938.04	Professional		$1,989.14	$3,552.35	$4,938.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,151.60 / $1,831.65 / $3,532.50	Facility		$1,151.60	$1,831.65	$3,532.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,337.09 / $2,803.00 / $7,700.00	Facility		$1,337.09	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,429.14 / $3,765.34 / $6,786.82	Professional		$1,429.14	$3,765.34	$6,786.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,016.32 / $2,689.38	Professional		$105.27	$1,016.32	$2,689.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,151.60 / $1,831.65 / $3,532.50	Facility		$1,151.60	$1,831.65	$3,532.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,383.55 / $3,680.57 / $4,775.96	Professional		$2,383.55	$3,680.57	$4,775.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,393.92 / $22,393.92 / $22,393.92	Facility		$22,393.92	$22,393.92	$22,393.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,039.18 / $5,755.25 / $15,227.00	Professional		$2,039.18	$5,755.25	$15,227.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,992.48 / $5,992.48 / $5,992.48	Professional		$5,992.48	$5,992.48	$5,992.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,348.71 / $7,960.28 / $7,960.28	Professional		$5,348.71	$7,960.28	$7,960.28
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 $1,396.64 / $3,748.90 / $5,667.51	Professional		$1,396.64	$3,748.90	$5,667.51