Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,193.09 / $2,241.17 / $15,673.98	Facility		$1,193.09	$2,241.17	$15,673.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.68 / $1,193.09 / $4,999.00	Professional		$973.68	$1,193.09	$4,999.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.89 / $2,983.13 / $6,057.84	Professional		$1,070.89	$2,983.13	$6,057.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,827.71 / $3,304.41 / $5,329.89	Facility		$2,827.71	$3,304.41	$5,329.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.53 / $3,405.12 / $4,492.58	Professional		$1,643.53	$3,405.12	$4,492.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,095.69 / $1,349.24 / $2,141.57	Facility		$1,095.69	$1,349.24	$2,141.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,193.09 / $6,154.00 / $16,779.00	Facility		$1,193.09	$6,154.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,262.98 / $2,699.40 / $5,254.95	Professional		$1,262.98	$2,699.40	$5,254.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $683.34 / $2,216.41	Professional		$85.00	$683.34	$2,216.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,095.69 / $1,349.24 / $2,141.57	Facility		$1,095.69	$1,349.24	$2,141.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,174.90 / $3,358.38 / $3,955.98	Professional		$2,174.90	$3,358.38	$3,955.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,691.73 / $5,398.80 / $8,246.08	Professional		$1,691.73	$5,398.80	$8,246.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,723.45 / $2,723.45 / $2,723.45	Professional		$2,723.45	$2,723.45	$2,723.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,690.41 / $5,926.30 / $5,926.30	Professional		$2,690.41	$5,926.30	$5,926.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,262.98 / $3,253.02 / $4,732.05	Professional		$1,262.98	$3,253.02	$4,732.05