Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.41 / $2,074.54 / $14,482.00	Facility		$1,017.41	$2,074.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.59 / $1,020.45 / $4,416.58	Professional		$963.59	$1,020.45	$4,416.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,293.00 / $10,261.00 / $16,653.39	Facility		$6,293.00	$10,261.00	$16,653.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.11 / $2,217.32 / $6,154.61	Professional		$899.11	$2,217.32	$6,154.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,703.36 / $3,159.09 / $4,846.13	Facility		$2,703.36	$3,159.09	$4,846.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.49 / $4,106.09 / $4,666.01	Professional		$1,419.49	$4,106.09	$4,666.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,383.03 / $2,248.48	Facility		$1,007.00	$1,383.03	$2,248.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,017.41 / $1,969.85 / $8,384.00	Facility		$1,017.41	$1,969.85	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.52 / $1,847.94 / $7,653.00	Professional		$1,010.52	$1,847.94	$7,653.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $582.90 / $1,889.81	Professional		$94.25	$582.90	$1,889.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,291.67 / $2,248.48	Facility		$1,007.00	$1,291.67	$2,248.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,972.75 / $2,403.71 / $3,491.81	Professional		$1,972.75	$2,403.71	$3,491.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,921.06 / $4,619.85 / $7,653.00	Professional		$1,921.06	$4,619.85	$7,653.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,390.48 / $3,390.48 / $3,390.48	Professional		$3,390.48	$3,390.48	$3,390.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.65 / $5,077.07 / $6,534.58	Professional		$2,131.65	$5,077.07	$6,534.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.90 / $1,847.94 / $4,204.06	Professional		$992.90	$1,847.94	$4,204.06