Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.74 / $2,751.84 / $14,482.00	Facility		$1,690.74	$2,751.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.45 / $1,690.74 / $4,476.08	Professional		$913.45	$1,690.74	$4,476.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,821.00 / $7,344.00 / $10,382.04	Facility		$4,821.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,308.73 / $3,152.17 / $8,161.27	Professional		$1,308.73	$3,152.17	$8,161.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,447.69 / $4,028.89 / $6,498.46	Facility		$3,447.69	$4,028.89	$6,498.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,519.23 / $4,136.81 / $5,546.34	Professional		$2,519.23	$4,136.81	$5,546.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,223.04 / $1,690.74 / $2,629.54	Facility		$1,223.04	$1,690.74	$2,629.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,433.30 / $4,614.00 / $8,783.00	Facility		$1,433.30	$4,614.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,575.13 / $3,970.94 / $7,727.21	Professional		$1,575.13	$3,970.94	$7,727.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $936.60 / $2,944.94	Professional		$85.00	$936.60	$2,944.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,223.04 / $1,690.74 / $2,629.54	Facility		$1,223.04	$1,690.74	$2,629.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,750.15 / $4,246.64 / $5,561.74	Professional		$2,750.15	$4,246.64	$5,561.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,313.89 / $11,313.89 / $11,313.89	Facility		$11,313.89	$11,313.89	$11,313.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,574.65 / $6,552.70 / $10,119.04	Professional		$2,574.65	$6,552.70	$10,119.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,945.57 / $6,945.57 / $6,945.57	Professional		$6,945.57	$6,945.57	$6,945.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,875.85 / $9,269.90 / $9,269.90	Professional		$1,875.85	$9,269.90	$9,269.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $6,477.00 / $8,384.00	Facility		$3,193.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,572.65 / $4,307.79 / $6,707.24	Professional		$1,572.65	$4,307.79	$6,707.24