Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.94 / $2,329.88 / $14,482.00	Facility		$1,037.94	$2,329.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.06 / $1,037.94 / $3,237.12	Professional		$992.06	$1,037.94	$3,237.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.99 / $2,911.24 / $8,441.43	Professional		$1,048.99	$2,911.24	$8,441.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,933.15 / $3,427.61 / $5,528.62	Facility		$2,933.15	$3,427.61	$5,528.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,070.98 / $4,375.47 / $4,972.13	Professional		$2,070.98	$4,375.47	$4,972.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,037.94 / $1,468.59 / $2,259.21	Facility		$1,037.94	$1,468.59	$2,259.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,108.56 / $2,429.00 / $7,700.00	Facility		$1,108.56	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,179.00 / $2,680.15 / $8,271.37	Professional		$1,179.00	$2,680.15	$8,271.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $996.91 / $2,629.86	Professional		$137.33	$996.91	$2,629.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,037.94 / $1,573.00 / $2,259.21	Facility		$1,037.94	$1,573.00	$2,259.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,401.75 / $3,695.00 / $4,833.81	Professional		$2,401.75	$3,695.00	$4,833.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,741.91 / $16,741.91 / $16,741.91	Facility		$16,741.91	$16,741.91	$16,741.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,198.21 / $5,360.30 / $8,833.41	Professional		$2,198.21	$5,360.30	$8,833.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,895.00 / $3,895.00 / $3,895.00	Professional		$3,895.00	$3,895.00	$3,895.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,803.39 / $6,551.85 / $6,551.85	Professional		$3,803.39	$6,551.85	$6,551.85
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 $1,195.20 / $3,190.17 / $5,417.76	Professional		$1,195.20	$3,190.17	$5,417.76