Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,116.73 / $2,081.71 / $14,482.00	Facility		$1,116.73	$2,081.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.52 / $1,116.73 / $2,999.63	Professional		$974.52	$1,116.73	$2,999.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $999.86 / $2,290.73 / $5,896.08	Professional		$999.86	$2,290.73	$5,896.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,608.73 / $3,048.52 / $4,676.51	Facility		$2,608.73	$3,048.52	$4,676.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.58 / $3,480.85 / $4,162.97	Professional		$1,171.58	$3,480.85	$4,162.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $1,303.86 / $2,026.01	Facility		$1,017.73	$1,303.86	$2,026.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,013.68 / $1,427.39 / $4,821.00	Facility		$1,013.68	$1,427.39	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,112.28 / $2,485.37 / $7,661.92	Professional		$1,112.28	$2,485.37	$7,661.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $934.61 / $2,305.36	Professional		$94.16	$934.61	$2,305.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $996.60 / $1,301.14 / $2,026.01	Facility		$996.60	$1,301.14	$2,026.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,916.40 / $2,555.84 / $4,211.47	Professional		$1,916.40	$2,555.84	$4,211.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,207.13 / $8,552.53 / $8,552.53	Facility		$1,207.13	$8,552.53	$8,552.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,782.03 / $4,983.45 / $7,661.92	Professional		$1,782.03	$4,983.45	$7,661.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,717.76 / $3,717.76 / $3,717.76	Professional		$3,717.76	$3,717.76	$3,717.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,363.14 / $5,083.04 / $5,083.04	Professional		$3,363.14	$5,083.04	$5,083.04
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 $1,097.82 / $2,252.39 / $4,497.56	Professional		$1,097.82	$2,252.39	$4,497.56