Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.04 / $1,060.04 / $17,823.00	Facility		$1,060.04	$1,060.04	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.98 / $1,111.29 / $1,389.83	Professional		$988.98	$1,111.29	$1,389.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.26 / $2,119.98 / $6,364.04	Professional		$1,123.26	$2,119.98	$6,364.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,046.69 / $3,560.29 / $5,461.58	Facility		$3,046.69	$3,560.29	$5,461.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,620.68 / $4,150.43	Professional		$1,109.10	$1,620.68	$4,150.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,060.04 / $1,219.05 / $1,941.59	Facility		$1,060.04	$1,219.05	$1,941.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $839.46 / $839.46 / $839.46	Professional		$839.46	$839.46	$839.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,007.60 / $1,294.39 / $5,728.00	Facility		$1,007.60	$1,294.39	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,175.36 / $2,423.63 / $7,680.91	Professional		$1,175.36	$2,423.63	$7,680.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $754.72 / $2,229.11	Professional		$83.17	$754.72	$2,229.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,060.04 / $1,192.81 / $2,319.12	Facility		$1,060.04	$1,192.81	$2,319.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $839.46 / $839.46 / $839.46	Professional		$839.46	$839.46	$839.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,236.19 / $2,939.86 / $4,910.43	Professional		$2,236.19	$2,939.86	$4,910.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,404.20 / $6,733.25 / $6,733.25	Facility		$1,404.20	$6,733.25	$6,733.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $5,533.40 / $7,680.91	Professional		$1,109.10	$5,533.40	$7,680.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,588.62 / $3,045.43 / $6,307.90	Professional		$2,588.62	$3,045.43	$6,307.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.33 / $2,423.63 / $4,993.89	Professional		$1,165.33	$2,423.63	$4,993.89