Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.69 / $2,053.57 / $14,482.00	Facility		$1,023.69	$2,053.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.72 / $1,061.45 / $3,525.30	Professional		$961.72	$1,061.45	$3,525.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.39 / $2,729.26 / $6,905.52	Professional		$985.39	$2,729.26	$6,905.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,590.71 / $3,027.46 / $4,883.18	Facility		$2,590.71	$3,027.46	$4,883.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.92 / $3,137.30 / $4,120.35	Professional		$1,359.92	$3,137.30	$4,120.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,003.97 / $1,376.93 / $1,962.31	Facility		$1,003.97	$1,376.93	$1,962.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.69 / $2,039.80 / $7,700.00	Facility		$1,023.69	$2,039.80	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,184.42 / $2,723.35 / $6,760.93	Professional		$1,184.42	$2,723.35	$6,760.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $671.63 / $2,131.09	Professional		$62.69	$671.63	$2,131.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,023.69 / $1,376.93 / $1,962.31	Facility		$1,023.69	$1,376.93	$1,962.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,991.60 / $3,075.34 / $4,071.85	Professional		$1,991.60	$3,075.34	$4,071.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,323.91 / $8,323.91 / $8,323.91	Facility		$8,323.91	$8,323.91	$8,323.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,398.08 / $4,951.55 / $7,540.80	Professional		$1,398.08	$4,951.55	$7,540.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,172.97 / $5,172.97 / $5,172.97	Professional		$5,172.97	$5,172.97	$5,172.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,975.74 / $5,932.24 / $5,932.24	Professional		$4,975.74	$5,932.24	$5,932.24
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 $1,184.42 / $2,993.29 / $4,879.39	Professional		$1,184.42	$2,993.29	$4,879.39