Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.92 / $2,655.74 / $4,733.12	Facility		$284.92	$2,655.74	$4,733.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.21 / $1,509.90 / $4,294.07	Professional		$1,071.21	$1,509.90	$4,294.07
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 $1,202.67 / $3,177.98 / $5,555.40	Professional		$1,202.67	$3,177.98	$5,555.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,344.06 / $3,907.79 / $6,303.13	Facility		$3,344.06	$3,907.79	$6,303.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,829.51 / $3,755.52 / $4,426.05	Professional		$1,829.51	$3,755.52	$4,426.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,289.28 / $1,667.96 / $2,537.71	Facility		$1,289.28	$1,667.96	$2,537.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,298.35 / $2,537.71 / $7,700.00	Facility		$1,298.35	$2,537.71	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,375.74 / $2,773.75 / $5,303.81	Professional		$1,375.74	$2,773.75	$5,303.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,677.74 / $3,336.46	Professional		$85.00	$1,677.74	$3,336.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,289.28 / $1,667.96 / $2,537.71	Facility		$1,289.28	$1,667.96	$2,537.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,710.50 / $3,748.00 / $4,735.45	Professional		$2,710.50	$3,748.00	$4,735.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,769.04 / $12,769.04 / $12,769.04	Facility		$12,769.04	$12,769.04	$12,769.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,886.58 / $6,043.55 / $9,925.36	Professional		$1,886.58	$6,043.55	$9,925.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,356.39 / $2,356.39 / $2,356.39	Professional		$2,356.39	$2,356.39	$2,356.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,458.79 / $4,059.26 / $4,059.26	Professional		$2,458.79	$4,059.26	$4,059.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,342.57 / $2,514.12 / $3,807.44	Professional		$1,342.57	$2,514.12	$3,807.44