Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.18 / $3,900.21 / $14,482.00	Facility		$1,176.18	$3,900.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.86 / $1,176.18 / $3,481.82	Professional		$994.86	$1,176.18	$3,481.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.02 / $2,412.67 / $6,154.24	Professional		$1,061.02	$2,412.67	$6,154.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,769.14 / $3,235.96 / $4,964.05	Facility		$2,769.14	$3,235.96	$4,964.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.82 / $3,557.55 / $4,368.22	Professional		$1,159.82	$3,557.55	$4,368.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,049.39 / $1,375.70 / $2,362.50	Facility		$1,049.39	$1,375.70	$2,362.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,021.72 / $1,527.53 / $12,855.00	Facility		$1,021.72	$1,527.53	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,144.04 / $2,493.50 / $11,430.60	Professional		$1,144.04	$2,493.50	$11,430.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $737.98 / $2,216.12	Professional		$65.00	$737.98	$2,216.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,021.72 / $1,375.70 / $2,362.50	Facility		$1,021.72	$1,375.70	$2,362.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,953.00 / $2,604.65 / $4,419.12	Professional		$1,953.00	$2,604.65	$4,419.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,210.81 / $16,547.20 / $16,547.20	Facility		$1,210.81	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.67 / $5,268.10 / $11,430.60	Professional		$1,479.67	$5,268.10	$11,430.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,880.54 / $3,880.54 / $3,880.54	Professional		$3,880.54	$3,880.54	$3,880.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,481.70 / $5,333.66 / $5,333.66	Professional		$3,481.70	$5,333.66	$5,333.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.04 / $2,429.65 / $4,893.24	Professional		$1,144.04	$2,429.65	$4,893.24