Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.82 / $2,066.58 / $14,482.00	Facility		$1,082.82	$2,066.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.04 / $1,082.82 / $3,344.57	Professional		$1,029.04	$1,082.82	$3,344.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.46 / $2,616.58 / $5,730.50	Professional		$995.46	$2,616.58	$5,730.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,593.42 / $3,030.62 / $4,888.28	Facility		$2,593.42	$3,030.62	$4,888.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,368.54 / $3,138.33 / $4,150.41	Professional		$1,368.54	$3,138.33	$4,150.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,010.33 / $1,393.64 / $2,016.12	Facility		$1,010.33	$1,393.64	$2,016.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,082.82 / $4,240.00 / $12,631.00	Facility		$1,082.82	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,147.65 / $2,429.88 / $5,525.95	Professional		$1,147.65	$2,429.88	$5,525.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $823.34 / $2,146.03	Professional		$85.00	$823.34	$2,146.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,082.82 / $1,393.64 / $2,016.12	Facility		$1,082.82	$1,393.64	$2,016.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,969.50 / $3,041.21 / $3,582.37	Professional		$1,969.50	$3,041.21	$3,582.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,398.55 / $4,937.05 / $7,823.00	Professional		$1,398.55	$4,937.05	$7,823.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,748.64 / $2,748.64 / $2,748.64	Professional		$2,748.64	$2,748.64	$2,748.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,891.38 / $4,858.77 / $4,858.77	Professional		$2,891.38	$4,858.77	$4,858.77
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 $1,093.00 / $2,805.01 / $4,697.93	Professional		$1,093.00	$2,805.01	$4,697.93