Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,546.46 / $8,297.48 / $14,998.10	Facility		$1,546.46	$8,297.48	$14,998.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,111.53 / $1,467.38 / $3,330.69	Professional		$1,111.53	$1,467.38	$3,330.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.65 / $1,996.69 / $5,286.07	Professional		$1,021.65	$1,996.69	$5,286.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,725.89 / $3,185.42 / $5,137.96	Facility		$2,725.89	$3,185.42	$5,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.17 / $2,493.98 / $5,016.71	Professional		$1,239.17	$2,493.98	$5,016.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $996.49 / $1,546.46 / $2,101.65	Facility		$996.49	$1,546.46	$2,101.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,134.80 / $5,266.00 / $14,978.00	Facility		$1,134.80	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,168.73 / $2,213.59 / $8,894.50	Professional		$1,168.73	$2,213.59	$8,894.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $588.74 / $1,738.44	Professional		$91.28	$588.74	$1,738.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $996.49 / $1,513.07 / $3,559.08	Facility		$996.49	$1,513.07	$3,559.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,839.00 / $2,427.48 / $3,623.75	Professional		$1,839.00	$2,427.48	$3,623.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,125.97 / $1,125.97 / $1,125.97	Facility	AS	$1,125.97	$1,125.97	$1,125.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,704.38 / $5,592.61 / $8,894.50	Professional		$1,704.38	$5,592.61	$8,894.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,711.24 / $7,670.01 / $10,013.33	Professional		$4,711.24	$7,670.01	$10,013.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.89 / $2,042.52 / $4,508.03	Professional		$1,113.89	$2,042.52	$4,508.03