Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.28 / $2,270.63 / $14,482.00	Facility		$1,041.28	$2,270.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.08 / $1,041.28 / $3,873.82	Professional		$961.08	$1,041.28	$3,873.82
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 $1,068.86 / $2,895.83 / $6,184.72	Professional		$1,068.86	$2,895.83	$6,184.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,931.34 / $3,425.51 / $5,525.22	Facility		$2,931.34	$3,425.51	$5,525.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,503.66 / $3,215.58 / $4,624.30	Professional		$1,503.66	$3,215.58	$4,624.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,041.28 / $1,496.42 / $2,185.02	Facility		$1,041.28	$1,496.42	$2,185.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,110.08 / $5,266.00 / $15,126.00	Facility		$1,110.08	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,256.68 / $2,658.70 / $7,070.33	Professional		$1,256.68	$2,658.70	$7,070.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $692.55 / $2,274.57	Professional		$70.00	$692.55	$2,274.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,041.28 / $1,536.69 / $2,185.02	Facility		$1,041.28	$1,536.69	$2,185.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,165.15 / $3,343.32 / $3,938.24	Professional		$2,165.15	$3,343.32	$3,938.24
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 $1,558.49 / $5,317.40 / $8,291.52	Professional		$1,558.49	$5,317.40	$8,291.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,099.40 / $3,099.40 / $3,099.40	Professional		$3,099.40	$3,099.40	$3,099.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,468.52 / $6,281.17 / $6,281.17	Professional		$3,468.52	$6,281.17	$6,281.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,139.34 / $3,246.05 / $5,125.85	Professional		$1,139.34	$3,246.05	$5,125.85