Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.41 / $2,222.75 / $14,482.00	Facility		$1,019.41	$2,222.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $941.63 / $1,019.41 / $3,792.35	Professional		$941.63	$1,019.41	$3,792.35
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 $1,045.46 / $2,835.35 / $6,070.39	Professional		$1,045.46	$2,835.35	$6,070.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,871.87 / $3,356.01 / $5,413.12	Facility		$2,871.87	$3,356.01	$5,413.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.95 / $3,148.96 / $4,526.93	Professional		$1,471.95	$3,148.96	$4,526.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,019.41 / $1,463.64 / $2,123.96	Facility		$1,019.41	$1,463.64	$2,123.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,086.68 / $5,266.00 / $15,126.00	Facility		$1,086.68	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,229.24 / $2,601.28 / $6,917.62	Professional		$1,229.24	$2,601.28	$6,917.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $692.55 / $2,220.22	Professional		$70.00	$692.55	$2,220.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,019.41 / $1,505.09 / $2,123.96	Facility		$1,019.41	$1,505.09	$2,123.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,118.35 / $3,271.06 / $3,853.12	Professional		$2,118.35	$3,271.06	$3,853.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,526.19 / $5,202.55 / $8,569.23	Professional		$1,526.19	$5,202.55	$8,569.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,034.66 / $3,034.66 / $3,034.66	Professional		$3,034.66	$3,034.66	$3,034.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,395.38 / $6,151.01 / $6,151.01	Professional		$3,395.38	$6,151.01	$6,151.01
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 $1,229.24 / $3,261.70 / $5,019.09	Professional		$1,229.24	$3,261.70	$5,019.09