Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.30 / $2,564.44 / $14,482.00	Facility		$1,578.30	$2,564.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $858.90 / $1,578.30 / $3,799.59	Professional		$858.90	$1,578.30	$3,799.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,637.00 / $7,653.00 / $11,863.00	Facility		$4,637.00	$7,653.00	$11,863.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.24 / $2,826.81 / $7,623.85	Professional		$1,231.24	$2,826.81	$7,623.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,207.09 / $3,747.73 / $6,044.96	Facility		$3,207.09	$3,747.73	$6,044.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,342.80 / $3,856.27 / $5,157.88	Professional		$2,342.80	$3,856.27	$5,157.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,578.30 / $2,450.46	Facility		$1,050.00	$1,578.30	$2,450.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,253.73 / $2,678.00 / $7,700.00	Facility		$1,253.73	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,453.10 / $3,731.69 / $7,261.64	Professional		$1,453.10	$3,731.69	$7,261.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $910.61 / $2,842.40	Professional		$85.00	$910.61	$2,842.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,578.30 / $2,450.46	Facility		$1,050.00	$1,578.30	$2,450.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,568.80 / $3,966.62 / $5,184.56	Professional		$2,568.80	$3,966.62	$5,184.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,600.21 / $16,600.21 / $16,600.21	Facility		$16,600.21	$16,600.21	$16,600.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,400.05 / $6,157.90 / $9,450.16	Professional		$2,400.05	$6,157.90	$9,450.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,488.20 / $6,488.20 / $6,488.20	Professional		$6,488.20	$6,488.20	$6,488.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $8,641.29 / $8,641.29	Professional		$1,421.10	$8,641.29	$8,641.29
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 $1,482.38 / $3,731.69 / $5,480.53	Professional		$1,482.38	$3,731.69	$5,480.53