Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.00 / $2,192.21 / $14,482.00	Facility		$1,174.00	$2,192.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.67 / $1,174.00 / $3,708.37	Professional		$961.67	$1,174.00	$3,708.37
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 $1,045.52 / $2,391.67 / $6,129.81	Professional		$1,045.52	$2,391.67	$6,129.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,760.13 / $3,225.43 / $4,947.89	Facility		$2,760.13	$3,225.43	$4,947.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,158.49 / $2,106.02 / $4,363.30	Professional		$1,158.49	$2,106.02	$4,363.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,025.80 / $1,463.73 / $3,097.77	Facility		$1,025.80	$1,463.73	$3,097.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,169.18 / $2,922.96 / $15,126.00	Facility		$1,169.18	$2,922.96	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,135.38 / $1,811.28 / $6,742.37	Professional		$1,135.38	$1,811.28	$6,742.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $676.26 / $2,088.96	Professional		$60.14	$676.26	$2,088.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,025.80 / $1,463.73 / $3,097.77	Facility		$1,025.80	$1,463.73	$3,097.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,038.31 / $2,613.44 / $4,414.13	Professional		$2,038.31	$2,613.44	$4,414.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,221.88 / $16,547.20 / $16,547.20	Facility		$11,221.88	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $4,463.72 / $9,006.77	Professional		$1,478.00	$4,463.72	$9,006.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,865.14 / $3,865.14 / $3,865.14	Professional		$3,865.14	$3,865.14	$3,865.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,441.56 / $5,327.60 / $5,327.60	Professional		$3,441.56	$5,327.60	$5,327.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,099.58 / $1,654.64 / $5,072.08	Professional		$1,099.58	$1,654.64	$5,072.08