Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.71 / $2,162.69 / $14,482.00	Facility		$1,162.71	$2,162.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.40 / $1,162.71 / $3,109.23	Professional		$991.40	$1,162.71	$3,109.23
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 $1,032.92 / $2,385.05 / $6,147.55	Professional		$1,032.92	$2,385.05	$6,147.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,718.68 / $3,176.99 / $4,873.59	Facility		$2,718.68	$3,176.99	$4,873.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.02 / $3,629.03 / $4,325.43	Professional		$1,191.02	$3,629.03	$4,325.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,057.32 / $1,342.80 / $2,519.40	Facility		$1,057.32	$1,342.80	$2,519.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,052.40 / $1,616.98 / $4,821.00	Facility		$1,052.40	$1,616.98	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,112.13 / $2,462.16 / $7,941.36	Professional		$1,112.13	$2,462.16	$7,941.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $962.43 / $2,300.80	Professional		$94.16	$962.43	$2,300.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,052.40 / $1,342.80 / $2,730.00	Facility		$1,052.40	$1,342.80	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $2,652.66 / $4,375.82	Professional		$1,989.00	$2,652.66	$4,375.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,246.15 / $10,146.64 / $10,146.64	Facility		$1,246.15	$10,146.64	$10,146.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,844.02 / $5,167.95 / $7,941.36	Professional		$1,844.02	$5,167.95	$7,941.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,876.31 / $3,876.31 / $3,876.31	Professional		$3,876.31	$3,876.31	$3,876.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,493.96 / $5,281.35 / $5,281.35	Professional		$3,493.96	$5,281.35	$5,281.35
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 $1,105.50 / $2,078.10 / $4,664.07	Professional		$1,105.50	$2,078.10	$4,664.07