Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.77 / $1,729.78 / $14,482.00	Facility		$1,067.77	$1,729.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.41 / $1,067.77 / $3,297.97	Professional		$652.41	$1,067.77	$3,297.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.45 / $1,912.43 / $5,180.26	Professional		$899.45	$1,912.43	$5,180.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.37 / $2,509.37 / $4,047.53	Facility		$2,147.37	$2,509.37	$4,047.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.70 / $2,607.44 / $3,445.78	Professional		$1,460.70	$2,607.44	$3,445.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $845.67 / $1,343.57 / $2,000.73	Facility		$845.67	$1,343.57	$2,000.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $981.27 / $2,678.00 / $7,700.00	Facility		$981.27	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,049.76 / $2,699.00 / $4,985.18	Professional		$1,049.76	$2,699.00	$4,985.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $860.93 / $1,998.49	Professional		$70.00	$860.93	$1,998.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $845.67 / $1,343.57 / $2,000.73	Facility		$845.67	$1,343.57	$2,000.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,749.15 / $2,700.96 / $3,505.58	Professional		$1,749.15	$2,700.96	$3,505.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,295.02 / $11,295.02 / $11,295.02	Facility		$11,295.02	$11,295.02	$11,295.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,496.77 / $4,264.99 / $6,442.24	Professional		$1,496.77	$4,264.99	$6,442.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,394.30 / $4,394.30 / $4,394.30	Professional		$4,394.30	$4,394.30	$4,394.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,033.63 / $5,842.82 / $5,842.82	Professional		$4,033.63	$5,842.82	$5,842.82
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 $1,025.56 / $2,751.09 / $4,171.27	Professional		$1,025.56	$2,751.09	$4,171.27