Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.13 / $1,981.21 / $14,482.00	Facility		$1,038.13	$1,981.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.61 / $1,038.13 / $3,581.06	Professional		$975.61	$1,038.13	$3,581.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.51 / $2,523.23 / $5,469.94	Professional		$951.51	$2,523.23	$5,469.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,486.19 / $2,905.31 / $4,686.16	Facility		$2,486.19	$2,905.31	$4,686.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.01 / $3,008.87 / $3,978.61	Professional		$1,312.01	$3,008.87	$3,978.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $968.59 / $1,332.11 / $1,893.16	Facility		$968.59	$1,332.11	$1,893.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,038.13 / $5,266.00 / $14,978.00	Facility		$1,038.13	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.33 / $2,321.39 / $5,113.74	Professional		$1,127.33	$2,321.39	$5,113.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $786.60 / $2,061.50	Professional		$85.00	$786.60	$2,061.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,038.13 / $1,332.11 / $1,893.16	Facility		$1,038.13	$1,332.11	$1,893.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,888.25 / $2,915.75 / $3,434.58	Professional		$1,888.25	$2,915.75	$3,434.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,340.84 / $4,724.35 / $7,307.00	Professional		$1,340.84	$4,724.35	$7,307.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,634.69 / $2,634.69 / $2,634.69	Professional		$2,634.69	$2,634.69	$2,634.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,166.39 / $4,658.33 / $4,658.33	Professional		$2,166.39	$4,658.33	$4,658.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.33 / $3,297.60 / $4,288.47	Professional		$1,127.33	$3,297.60	$4,288.47