Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.22 / $2,230.67 / $14,482.00	Facility		$1,353.22	$2,230.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.16 / $1,413.34 / $4,512.18	Professional		$996.16	$1,413.34	$4,512.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,024.11 / $1,968.81 / $7,055.93	Professional		$1,024.11	$1,968.81	$7,055.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,654.70 / $3,102.23 / $5,003.78	Facility		$2,654.70	$3,102.23	$5,003.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.48 / $2,906.60 / $4,239.18	Professional		$1,626.48	$2,906.60	$4,239.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,034.24 / $1,413.34 / $2,252.06	Facility		$1,034.24	$1,413.34	$2,252.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,128.26 / $8,791.00 / $17,200.00	Facility		$1,128.26	$8,791.00	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,223.15 / $2,335.81 / $6,841.33	Professional		$1,223.15	$2,335.81	$6,841.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $722.99 / $2,017.51	Professional		$61.84	$722.99	$2,017.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,034.24 / $1,413.34 / $2,252.06	Facility		$1,034.24	$1,413.34	$2,252.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,126.73 / $2,902.62 / $3,665.72	Professional		$2,126.73	$2,902.62	$3,665.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,629.00 / $13,629.00 / $13,629.00	Facility		$13,629.00	$13,629.00	$13,629.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,560.10 / $5,089.35 / $8,672.74	Professional		$1,560.10	$5,089.35	$8,672.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,341.96 / $5,341.96 / $5,341.96	Professional		$5,341.96	$5,341.96	$5,341.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,766.74 / $7,142.72 / $7,142.72	Professional		$4,766.74	$7,142.72	$7,142.72
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.15 / $2,598.42 / $5,346.97	Professional		$1,223.15	$2,598.42	$5,346.97