Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.67 / $2,110.46 / $14,482.00	Facility		$1,038.67	$2,110.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.60 / $1,061.28 / $3,437.16	Professional		$974.60	$1,061.28	$3,437.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.08 / $2,631.78 / $7,018.76	Professional		$1,014.08	$2,631.78	$7,018.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,646.59 / $3,092.75 / $4,988.49	Facility		$2,646.59	$3,092.75	$4,988.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,397.59 / $3,203.66 / $4,237.75	Professional		$1,397.59	$3,203.66	$4,237.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,038.67 / $1,419.71 / $3,168.25	Facility		$1,038.67	$1,419.71	$3,168.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,038.67 / $2,429.00 / $7,700.00	Facility		$1,038.67	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,194.76 / $2,770.38 / $6,945.20	Professional		$1,194.76	$2,770.38	$6,945.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $855.69 / $2,222.04	Professional		$85.00	$855.69	$2,222.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,038.67 / $1,419.71 / $3,168.25	Facility		$1,038.67	$1,419.71	$3,168.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,011.10 / $3,105.45 / $4,182.83	Professional		$2,011.10	$3,105.45	$4,182.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,603.68 / $9,603.68 / $9,603.68	Facility		$9,603.68	$9,603.68	$9,603.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,427.66 / $5,037.05 / $7,669.52	Professional		$1,427.66	$5,037.05	$7,669.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,257.79 / $5,257.79 / $5,257.79	Professional		$5,257.79	$5,257.79	$5,257.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,908.13 / $6,057.76 / $6,057.76	Professional		$4,908.13	$6,057.76	$6,057.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,194.76 / $3,342.61 / $5,027.47	Professional		$1,194.76	$3,342.61	$5,027.47