Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.85 / $2,333.52 / $14,482.00	Facility		$1,441.85	$2,333.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.93 / $1,441.85 / $4,228.47	Professional		$811.93	$1,441.85	$4,228.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.30 / $2,800.06 / $6,981.42	Professional		$1,147.30	$2,800.06	$6,981.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,895.30 / $3,383.39 / $5,457.28	Facility		$2,895.30	$3,383.39	$5,457.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,970.53 / $3,519.75 / $4,641.37	Professional		$1,970.53	$3,519.75	$4,641.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,140.83 / $1,816.52 / $2,583.77	Facility		$1,140.83	$1,816.52	$2,583.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,325.80 / $9,630.90 / $16,779.00	Facility		$1,325.80	$9,630.90	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,390.31 / $3,813.48 / $6,471.36	Professional		$1,390.31	$3,813.48	$6,471.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,003.60 / $2,680.26	Professional		$105.27	$1,003.60	$2,680.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,140.83 / $1,816.52 / $2,583.77	Facility		$1,140.83	$1,816.52	$2,583.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,363.40 / $3,649.45 / $4,732.13	Professional		$2,363.40	$3,649.45	$4,732.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,856.55 / $13,856.55 / $13,856.55	Facility		$13,856.55	$13,856.55	$13,856.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,020.45 / $5,725.30 / $12,431.63	Professional		$2,020.45	$5,725.30	$12,431.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,941.48 / $5,941.48 / $5,941.48	Professional		$5,941.48	$5,941.48	$5,941.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,298.65 / $7,887.14 / $7,887.14	Professional		$5,298.65	$7,887.14	$7,887.14
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,390.31 / $3,813.48 / $5,650.88	Professional		$1,390.31	$3,813.48	$5,650.88