Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.81 / $2,157.07 / $14,482.00	Facility		$1,149.81	$2,157.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.69 / $1,149.81 / $3,572.22	Professional		$935.69	$1,149.81	$3,572.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,011.14 / $2,795.14 / $5,819.17	Professional		$1,011.14	$2,795.14	$5,819.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,732.20 / $3,192.79 / $5,149.85	Facility		$2,732.20	$3,192.79	$5,149.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,581.86 / $3,126.71 / $4,333.67	Professional		$1,581.86	$3,126.71	$4,333.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,070.75 / $1,297.83 / $4,961.25	Facility		$1,070.75	$1,297.83	$4,961.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,149.81 / $4,240.00 / $11,598.00	Facility		$1,149.81	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,214.34 / $2,569.28 / $5,039.99	Professional		$1,214.34	$2,569.28	$5,039.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $661.46 / $2,142.43	Professional		$95.64	$661.46	$2,142.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,070.75 / $1,297.83 / $4,961.25	Facility		$1,070.75	$1,297.83	$4,961.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,090.40 / $3,216.00 / $3,802.28	Professional		$2,090.40	$3,216.00	$3,802.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,761.06 / $8,761.06 / $8,761.06	Facility		$8,761.06	$8,761.06	$8,761.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,630.53 / $5,138.55 / $7,932.80	Professional		$1,630.53	$5,138.55	$7,932.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,626.57 / $2,626.57 / $2,626.57	Professional		$2,626.57	$2,626.57	$2,626.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,737.08 / $5,711.88 / $5,711.88	Professional		$2,737.08	$5,711.88	$5,711.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,228.26 / $3,471.09 / $4,419.14	Professional		$1,228.26	$3,471.09	$4,419.14