Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,161.00 / $2,357.03 / $14,482.00	Facility		$1,161.00	$2,357.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.80 / $1,186.33 / $3,853.56	Professional		$1,088.80	$1,186.33	$3,853.56
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 $1,137.01 / $2,941.73 / $7,847.98	Professional		$1,137.01	$2,941.73	$7,847.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,954.77 / $3,452.89 / $5,569.38	Facility		$2,954.77	$3,452.89	$5,569.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,560.88 / $3,579.35 / $4,730.24	Professional		$1,560.88	$3,579.35	$4,730.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,161.00 / $1,591.81 / $5,036.66	Facility		$1,161.00	$1,591.81	$5,036.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,161.00 / $5,036.66 / $11,598.00	Facility		$1,161.00	$5,036.66	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,336.66 / $3,110.80 / $7,779.54	Professional		$1,336.66	$3,110.80	$7,779.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $965.54 / $2,471.98	Professional		$85.00	$965.54	$2,471.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,161.00 / $1,591.81 / $5,036.66	Facility		$1,161.00	$1,591.81	$5,036.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,246.40 / $3,468.79 / $4,685.34	Professional		$2,246.40	$3,468.79	$4,685.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,733.36 / $10,733.36 / $10,733.36	Facility		$10,733.36	$10,733.36	$10,733.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,595.08 / $5,656.00 / $10,108.39	Professional		$1,595.08	$5,656.00	$10,108.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,878.96 / $5,878.96 / $5,878.96	Professional		$5,878.96	$5,878.96	$5,878.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,636.44 / $6,768.16 / $6,768.16	Professional		$3,636.44	$6,768.16	$6,768.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,309.99 / $3,452.99 / $5,533.89	Professional		$1,309.99	$3,452.99	$5,533.89