Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.65 / $2,136.76 / $14,482.00	Facility		$1,138.65	$2,136.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $1,138.65 / $3,571.76	Professional		$926.78	$1,138.65	$3,571.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,601.16	Facility		$7,084.00	$11,523.00	$18,601.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.95 / $2,794.60 / $5,783.50	Professional		$1,006.95	$2,794.60	$5,783.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,705.16 / $3,161.20 / $5,098.89	Facility		$2,705.16	$3,161.20	$5,098.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,566.96 / $3,097.35 / $4,292.14	Professional		$1,566.96	$3,097.35	$4,292.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,044.64 / $1,285.69 / $2,084.69	Facility		$1,044.64	$1,285.69	$2,084.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,138.65 / $3,360.50 / $11,598.00	Facility		$1,138.65	$3,360.50	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,214.20 / $2,551.17 / $4,991.05	Professional		$1,214.20	$2,551.17	$4,991.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $649.80 / $2,131.09	Professional		$85.00	$649.80	$2,131.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,061.42 / $1,285.69 / $2,084.69	Facility		$1,061.42	$1,285.69	$2,084.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,070.25 / $3,185.00 / $3,765.63	Professional		$2,070.25	$3,185.00	$3,765.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,681.12 / $8,681.12 / $8,681.12	Facility		$8,681.12	$8,681.12	$8,681.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,615.21 / $5,102.35 / $7,861.04	Professional		$1,615.21	$5,102.35	$7,861.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,600.10 / $2,600.10 / $2,600.10	Professional		$2,600.10	$2,600.10	$2,600.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,565.06 / $5,658.24 / $5,658.24	Professional		$2,565.06	$5,658.24	$5,658.24
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 $1,214.20 / $3,058.10 / $4,472.21	Professional		$1,214.20	$3,058.10	$4,472.21