Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.90 / $1,203.90 / $14,482.00	Facility		$1,203.90	$1,203.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.58 / $1,244.31 / $1,961.31	Professional		$663.58	$1,244.31	$1,961.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.42 / $3,131.73 / $7,840.13	Professional		$1,192.42	$3,131.73	$7,840.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,288.67 / $6,180.23 / $9,480.64	Facility		$5,288.67	$6,180.23	$9,480.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,227.88 / $3,101.58 / $3,524.53	Professional		$2,227.88	$3,101.58	$3,524.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,203.90 / $1,841.97 / $4,091.94	Facility		$1,203.90	$1,841.97	$4,091.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,408.56 / $2,474.23 / $11,598.00	Facility		$1,408.56	$2,474.23	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $840.85 / $2,951.54 / $14,615.12	Professional		$840.85	$2,951.54	$14,615.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $4,449.91	Professional		$50.00	$58.40	$4,449.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,203.90 / $1,841.97 / $4,091.94	Facility		$1,203.90	$1,841.97	$4,091.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,268.61 / $4,735.96 / $6,495.13	Professional		$2,268.61	$4,735.96	$6,495.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,219.48 / $9,922.10 / $14,615.12	Professional		$8,219.48	$9,922.10	$14,615.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,238.99 / $6,238.99 / $6,238.99	Professional		$6,238.99	$6,238.99	$6,238.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,554.91 / $12,577.71 / $12,577.71	Professional		$7,554.91	$12,577.71	$12,577.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,953.00 / $12,705.00	Facility		$4,017.00	$9,953.00	$12,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $2,951.54 / $8,731.45	Professional		$900.00	$2,951.54	$8,731.45