Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.84 / $2,572.65 / $14,482.00	Facility		$1,573.84	$2,572.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.33 / $1,573.84 / $4,649.89	Professional		$841.33	$1,573.84	$4,649.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,240.83 / $3,046.34 / $7,566.78	Professional		$1,240.83	$3,046.34	$7,566.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,226.01 / $3,769.85 / $6,080.63	Facility		$3,226.01	$3,769.85	$6,080.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,355.40 / $3,869.37 / $5,186.64	Professional		$2,355.40	$3,869.37	$5,186.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,143.40 / $1,737.18 / $2,458.31	Facility		$1,143.40	$1,737.18	$2,458.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,372.08 / $2,568.85 / $7,700.00	Facility		$1,372.08	$2,568.85	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.11 / $3,735.54 / $7,269.13	Professional		$1,513.11	$3,735.54	$7,269.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,084.96 / $2,792.84	Professional		$85.00	$1,084.96	$2,792.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,143.40 / $1,737.18 / $2,458.31	Facility		$1,143.40	$1,737.18	$2,458.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,451.80 / $3,785.96 / $5,202.18	Professional		$2,451.80	$3,785.96	$5,202.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,859.40 / $5,859.40 / $5,859.40	Facility		$5,859.40	$5,859.40	$5,859.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,408.19 / $6,164.25 / $10,193.91	Professional		$2,408.19	$6,164.25	$10,193.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,439.64 / $6,439.64 / $6,439.64	Professional		$6,439.64	$6,439.64	$6,439.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,718.08 / $8,670.62 / $8,670.62	Professional		$5,718.08	$8,670.62	$8,670.62
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 $1,472.20 / $3,716.23 / $6,072.70	Professional		$1,472.20	$3,716.23	$6,072.70