Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.25 / $1,787.74 / $14,482.00	Facility		$1,102.25	$1,787.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $735.24 / $1,102.25 / $3,183.78	Professional		$735.24	$1,102.25	$3,183.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.43 / $2,134.35 / $5,566.07	Professional		$856.43	$2,134.35	$5,566.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,223.96 / $2,598.88 / $4,191.89	Facility		$2,223.96	$2,598.88	$4,191.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.65 / $2,694.53 / $3,825.65	Professional		$1,509.65	$2,694.53	$3,825.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $874.01 / $1,343.92 / $1,785.00	Facility		$874.01	$1,343.92	$1,785.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.68 / $6,564.00 / $12,216.00	Facility		$1,011.68	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,078.94 / $2,871.30 / $5,123.74	Professional		$1,078.94	$2,871.30	$5,123.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $876.07 / $2,011.41	Professional		$70.00	$876.07	$2,011.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $874.01 / $1,343.92 / $1,785.00	Facility		$874.01	$1,343.92	$1,785.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,803.10 / $2,784.26 / $3,622.66	Professional		$1,803.10	$2,784.26	$3,622.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $7,984.00 / $7,984.00	Facility		$7,984.00	$7,984.00	$7,984.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,546.74 / $4,412.64 / $6,645.92	Professional		$1,546.74	$4,412.64	$6,645.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,536.22 / $4,536.22 / $4,536.22	Professional		$4,536.22	$4,536.22	$4,536.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,059.36 / $6,037.96 / $6,037.96	Professional		$4,059.36	$6,037.96	$6,037.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.25 / $2,633.04 / $4,278.41	Professional		$899.25	$2,633.04	$4,278.41