Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.01 / $1,643.83 / $14,482.00	Facility		$1,011.01	$1,643.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.02 / $1,011.01 / $2,827.42	Professional		$554.02	$1,011.01	$2,827.42
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 $787.38 / $1,948.41 / $4,865.14	Professional		$787.38	$1,948.41	$4,865.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,059.06 / $2,406.17 / $3,881.07	Facility		$2,059.06	$2,406.17	$3,881.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.13 / $2,469.28 / $3,314.85	Professional		$1,388.13	$2,469.28	$3,314.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $803.65 / $1,257.02 / $1,932.67	Facility		$803.65	$1,257.02	$1,932.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.74 / $2,553.00 / $7,700.00	Facility		$914.74	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $961.16 / $2,374.94 / $4,621.50	Professional		$961.16	$2,374.94	$4,621.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $724.14 / $1,822.89	Professional		$62.75	$724.14	$1,822.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $803.65 / $1,257.02 / $1,932.67	Facility		$803.65	$1,257.02	$1,932.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,627.60 / $2,513.26 / $3,319.83	Professional		$1,627.60	$2,513.26	$3,319.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,344.00 / $15,344.00 / $15,344.00	Facility		$15,344.00	$15,344.00	$15,344.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,417.45 / $3,919.05 / $8,627.02	Professional		$1,417.45	$3,919.05	$8,627.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,140.43 / $4,140.43 / $4,140.43	Professional		$4,140.43	$4,140.43	$4,140.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,664.56 / $5,533.23 / $5,533.23	Professional		$3,664.56	$5,533.23	$5,533.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $941.08 / $2,374.94 / $4,011.48	Professional		$941.08	$2,374.94	$4,011.48