Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.98 / $1,782.16 / $14,482.00	Facility		$1,068.98	$1,782.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.54 / $1,068.98 / $2,871.58	Professional		$648.54	$1,068.98	$2,871.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.87 / $2,282.42 / $5,160.77	Professional		$810.87	$2,282.42	$5,160.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,302.36 / $2,690.49 / $4,339.67	Facility		$2,302.36	$2,690.49	$4,339.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.19 / $2,690.71 / $3,627.85	Professional		$1,180.19	$2,690.71	$3,627.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $871.28 / $1,250.71 / $1,702.95	Facility		$871.28	$1,250.71	$1,702.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.48 / $4,240.00 / $11,598.00	Facility		$950.48	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $968.36 / $2,435.60 / $5,812.31	Professional		$968.36	$2,435.60	$5,812.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $520.29 / $1,729.09	Professional		$70.00	$520.29	$1,729.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $950.48 / $1,250.71 / $1,702.95	Facility		$950.48	$1,250.71	$1,702.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,699.10 / $2,614.00 / $3,197.44	Professional		$1,699.10	$2,614.00	$3,197.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,223.70 / $4,095.25 / $6,691.93	Professional		$1,223.70	$4,095.25	$6,691.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,148.46 / $2,148.46 / $2,148.46	Professional		$2,148.46	$2,148.46	$2,148.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.91 / $5,251.16 / $5,251.16	Professional		$2,049.91	$5,251.16	$5,251.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,158.00 / $12,062.00	Facility		$4,017.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $968.36 / $2,462.53 / $3,661.15	Professional		$968.36	$2,462.53	$3,661.15