Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.83 / $2,316.58 / $14,482.00	Facility		$1,234.83	$2,316.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.13 / $1,234.83 / $3,879.65	Professional		$1,006.13	$1,234.83	$3,879.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.44 / $3,035.10 / $6,274.09	Professional		$1,101.44	$3,035.10	$6,274.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,928.64 / $3,422.35 / $5,520.13	Facility		$2,928.64	$3,422.35	$5,520.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.82 / $3,356.51 / $4,647.20	Professional		$1,698.82	$3,356.51	$4,647.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,153.25 / $1,395.41 / $3,372.66	Facility		$1,153.25	$1,395.41	$3,372.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,234.83 / $3,372.66 / $15,743.00	Facility		$1,234.83	$3,372.66	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,287.08 / $2,778.30 / $5,412.61	Professional		$1,287.08	$2,778.30	$5,412.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $702.34 / $2,254.99	Professional		$95.26	$702.34	$2,254.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,153.25 / $1,395.41 / $3,372.66	Facility		$1,153.25	$1,395.41	$3,372.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,247.69 / $3,470.79 / $4,088.39	Professional		$2,247.69	$3,470.79	$4,088.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,298.90 / $16,298.90 / $16,298.90	Facility		$16,298.90	$16,298.90	$16,298.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,750.37 / $5,556.60 / $8,525.84	Professional		$1,750.37	$5,556.60	$8,525.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,820.67 / $2,820.67 / $2,820.67	Professional		$2,820.67	$2,820.67	$2,820.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,996.13 / $6,131.66 / $6,131.66	Professional		$2,996.13	$6,131.66	$6,131.66
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 $1,287.08 / $2,959.24 / $4,870.35	Professional		$1,287.08	$2,959.24	$4,870.35