Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.82 / $2,158.44 / $14,482.00	Facility		$1,160.82	$2,158.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.88 / $1,160.82 / $2,158.44	Professional		$981.88	$1,160.82	$2,158.44
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 $1,026.29 / $2,381.17 / $6,136.43	Professional		$1,026.29	$2,381.17	$6,136.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,706.06 / $3,162.25 / $4,850.97	Facility		$2,706.06	$3,162.25	$4,850.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.63 / $3,611.10 / $4,315.53	Professional		$1,221.63	$3,611.10	$4,315.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,053.66 / $1,358.16 / $2,320.50	Facility		$1,053.66	$1,358.16	$2,320.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,053.66 / $1,615.93 / $4,821.00	Facility		$1,053.66	$1,615.93	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,124.72 / $2,504.67 / $7,944.48	Professional		$1,124.72	$2,504.67	$7,944.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $958.10 / $2,305.36	Professional		$94.16	$958.10	$2,305.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,053.66 / $1,356.10 / $2,320.50	Facility		$1,053.66	$1,356.10	$2,320.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,991.40 / $2,655.86 / $4,365.81	Professional		$1,991.40	$2,655.86	$4,365.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,252.98 / $10,149.60 / $10,149.60	Facility		$1,252.98	$10,149.60	$10,149.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,848.32 / $5,143.75 / $7,944.48	Professional		$1,848.32	$5,143.75	$7,944.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,869.32 / $3,869.32 / $3,869.32	Professional		$3,869.32	$3,869.32	$3,869.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,952.73 / $5,269.28 / $5,269.28	Professional		$2,952.73	$5,269.28	$5,269.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,786.00 / $19,003.00	Facility		$2,203.00	$4,786.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.73 / $2,252.96 / $4,642.22	Professional		$1,053.73	$2,252.96	$4,642.22