Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.26 / $1,868.94 / $14,482.00	Facility		$1,157.26	$1,868.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.05 / $1,157.26 / $1,449.11	Professional		$657.05	$1,157.26	$1,449.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.56 / $2,182.11 / $5,635.19	Professional		$920.56	$2,182.11	$5,635.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,335.69 / $2,729.45 / $4,402.51	Facility		$2,335.69	$2,729.45	$4,402.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.21 / $2,822.69 / $3,737.84	Professional		$1,578.21	$2,822.69	$3,737.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $913.70 / $1,449.11 / $1,785.88	Facility		$913.70	$1,449.11	$1,785.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,049.63 / $3,364.00 / $7,868.00	Facility		$1,049.63	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,116.34 / $3,106.64 / $5,206.60	Professional		$1,116.34	$3,106.64	$5,206.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $991.03 / $2,196.50	Professional		$85.00	$991.03	$2,196.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $913.70 / $1,449.11 / $1,785.88	Facility		$913.70	$1,449.11	$1,785.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,551.96 / $2,267.01 / $3,263.71	Professional		$1,551.96	$2,267.01	$3,263.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,133.00 / $12,133.00 / $12,133.00	Facility		$12,133.00	$12,133.00	$12,133.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,620.33 / $3,837.60 / $6,937.52	Professional		$1,620.33	$3,837.60	$6,937.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,795.78 / $4,795.78 / $4,795.78	Professional		$4,795.78	$4,795.78	$4,795.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,325.23 / $6,325.23 / $6,325.23	Professional		$6,325.23	$6,325.23	$6,325.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.34 / $2,826.66 / $4,546.47	Professional		$1,116.34	$2,826.66	$4,546.47