Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.49 / $2,848.30 / $14,482.00	Facility		$1,285.49	$2,848.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.03 / $1,285.49 / $4,680.85	Professional		$965.03	$1,285.49	$4,680.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.54 / $3,666.17 / $9,094.87	Professional		$1,324.54	$3,666.17	$9,094.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,538.70 / $4,135.25 / $6,670.01	Facility		$3,538.70	$4,135.25	$6,670.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,531.82 / $4,032.86 / $5,741.00	Professional		$2,531.82	$4,032.86	$5,741.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,285.49 / $1,519.09 / $2,788.57	Facility		$1,285.49	$1,519.09	$2,788.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,286.07 / $2,721.71 / $7,700.00	Facility		$1,286.07	$2,721.71	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,578.00 / $3,427.61 / $7,962.59	Professional		$1,578.00	$3,427.61	$7,962.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,152.21 / $2,987.74	Professional		$85.00	$1,152.21	$2,987.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,285.49 / $1,519.09 / $2,788.57	Facility		$1,285.49	$1,519.09	$2,788.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,731.95 / $4,203.00 / $4,969.21	Professional		$2,731.95	$4,203.00	$4,969.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,185.45 / $21,185.45 / $21,185.45	Facility		$21,185.45	$21,185.45	$21,185.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,635.01 / $6,591.55 / $10,285.12	Professional		$2,635.01	$6,591.55	$10,285.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,963.84 / $5,963.84 / $5,963.84	Professional		$5,963.84	$5,963.84	$5,963.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,312.99 / $8,950.69 / $8,950.69	Professional		$5,312.99	$8,950.69	$8,950.69
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 $1,578.00 / $4,107.66 / $5,777.49	Professional		$1,578.00	$4,107.66	$5,777.49