Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.48 / $2,121.37 / $14,482.00	Facility		$1,044.48	$2,121.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.13 / $1,071.89 / $3,475.99	Professional		$980.13	$1,071.89	$3,475.99
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 $1,026.61 / $2,719.32 / $7,057.49	Professional		$1,026.61	$2,719.32	$7,057.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,661.01 / $3,109.60 / $5,015.67	Facility		$2,661.01	$3,109.60	$5,015.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.81 / $3,221.42 / $4,259.22	Professional		$1,404.81	$3,221.42	$4,259.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,037.10 / $1,374.38 / $2,069.12	Facility		$1,037.10	$1,374.38	$2,069.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,044.48 / $2,134.58 / $7,700.00	Facility		$1,044.48	$2,134.58	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,203.40 / $2,792.46 / $6,995.40	Professional		$1,203.40	$2,792.46	$6,995.40
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 $1,044.48 / $1,406.40 / $2,069.12	Facility		$1,044.48	$1,406.40	$2,069.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,021.50 / $3,121.51 / $4,213.08	Professional		$2,021.50	$3,121.51	$4,213.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,449.62 / $8,449.62 / $8,449.62	Facility		$8,449.62	$8,449.62	$8,449.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,435.56 / $5,077.20 / $9,256.39	Professional		$1,435.56	$5,077.20	$9,256.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,286.82 / $5,286.82 / $5,286.82	Professional		$5,286.82	$5,286.82	$5,286.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,963.60 / $6,091.31 / $6,091.31	Professional		$4,963.60	$6,091.31	$6,091.31
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 $1,181.64 / $2,993.01 / $4,978.49	Professional		$1,181.64	$2,993.01	$4,978.49