Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.25 / $1,824.61 / $14,482.00	Facility		$1,126.25	$1,824.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.81 / $1,126.25 / $3,572.96	Professional		$742.81	$1,126.25	$3,572.96
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 $892.28 / $2,183.36 / $5,699.57	Professional		$892.28	$2,183.36	$5,699.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,266.32 / $2,648.37 / $4,271.72	Facility		$2,266.32	$2,648.37	$4,271.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.79 / $2,751.02 / $4,072.15	Professional		$1,540.79	$2,751.02	$4,072.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $892.03 / $1,417.00 / $2,100.00	Facility		$892.03	$1,417.00	$2,100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,034.88 / $6,564.00 / $12,216.00	Facility		$1,034.88	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,106.54 / $2,989.44 / $5,254.81	Professional		$1,106.54	$2,989.44	$5,254.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $918.47 / $2,139.42	Professional		$70.00	$918.47	$2,139.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $892.03 / $1,417.00 / $2,100.00	Facility		$892.03	$1,417.00	$2,100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,844.70 / $2,848.50 / $3,698.62	Professional		$1,844.70	$2,848.50	$3,698.62
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 $1,579.19 / $4,531.96 / $7,411.80	Professional		$1,579.19	$4,531.96	$7,411.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,637.20 / $4,637.20 / $4,637.20	Professional		$4,637.20	$4,637.20	$4,637.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,665.77 / $6,164.63 / $6,164.63	Professional		$4,665.77	$6,164.63	$6,164.63
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 $1,080.91 / $2,963.40 / $4,391.22	Professional		$1,080.91	$2,963.40	$4,391.22