Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.20 / $2,227.75 / $3,970.34	Facility		$1,271.20	$2,227.75	$3,970.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.14 / $1,271.20 / $4,248.00	Professional		$904.14	$1,271.20	$4,248.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.08 / $2,681.20 / $4,798.85	Professional		$1,047.08	$2,681.20	$4,798.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,790.77 / $3,261.23 / $5,260.25	Facility		$2,790.77	$3,261.23	$5,260.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.68 / $3,142.27 / $3,703.11	Professional		$1,534.68	$3,142.27	$3,703.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $990.11 / $1,405.15 / $2,128.73	Facility		$990.11	$1,405.15	$2,128.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,089.11 / $2,155.17 / $7,700.00	Facility		$1,089.11	$2,155.17	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,192.76 / $2,397.88 / $4,616.39	Professional		$1,192.76	$2,397.88	$4,616.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,469.85 / $2,779.14	Professional		$85.00	$1,469.85	$2,779.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $990.11 / $1,405.15 / $2,128.73	Facility		$990.11	$1,405.15	$2,128.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,284.10 / $3,158.38 / $3,990.50	Professional		$2,284.10	$3,158.38	$3,990.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,033.82 / $8,033.82 / $8,033.82	Facility		$8,033.82	$8,033.82	$8,033.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,578.53 / $5,224.60 / $8,326.08	Professional		$1,578.53	$5,224.60	$8,326.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,982.11 / $1,982.11 / $1,982.11	Professional		$1,982.11	$1,982.11	$1,982.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,171.81 / $3,396.43 / $3,396.43	Professional		$2,171.81	$3,396.43	$3,396.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,785.00 / $4,316.80 / $19,003.00	Facility		$1,785.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.17 / $2,393.40 / $3,291.50	Professional		$1,115.17	$2,393.40	$3,291.50