Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.14 / $2,278.80 / $14,482.00	Facility		$1,056.14	$2,278.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.18 / $1,125.30 / $2,278.80	Professional		$993.18	$1,125.30	$2,278.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.02 / $2,509.64 / $7,269.86	Professional		$1,089.02	$2,509.64	$7,269.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,850.24 / $3,330.73 / $5,109.43	Facility		$2,850.24	$3,330.73	$5,109.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.77 / $3,424.52 / $3,891.50	Professional		$1,267.77	$3,424.52	$3,891.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,056.14 / $1,362.86 / $2,200.00	Facility		$1,056.14	$1,362.86	$2,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.14 / $1,524.63 / $4,821.00	Facility		$1,056.14	$1,524.63	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,178.84 / $2,517.73 / $9,902.00	Professional		$1,178.84	$2,517.73	$9,902.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $743.32 / $2,305.36	Professional		$125.44	$743.32	$2,305.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,045.29 / $1,361.87 / $2,200.00	Facility		$1,045.29	$1,361.87	$2,200.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,106.60 / $2,809.50 / $4,604.10	Professional		$2,106.60	$2,809.50	$4,604.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,325.54 / $10,715.44 / $10,715.44	Facility		$1,325.54	$10,715.44	$10,715.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,968.92 / $5,459.10 / $9,902.00	Professional		$1,968.92	$5,459.10	$9,902.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,840.22 / $4,840.22 / $4,840.22	Professional		$4,840.22	$4,840.22	$4,840.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,619.38 / $6,064.92 / $6,064.92	Professional		$4,619.38	$6,064.92	$6,064.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.68 / $2,105.03 / $4,749.42	Professional		$1,120.68	$2,105.03	$4,749.42