Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.10 / $1,859.22 / $14,482.00	Facility		$1,145.10	$1,859.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.65 / $1,145.10 / $3,556.19	Professional		$710.65	$1,145.10	$3,556.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $14,586.00	Facility		$5,169.00	$8,408.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.48 / $2,216.94 / $5,631.58	Professional		$907.48	$2,216.94	$5,631.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,309.57 / $2,698.92 / $4,353.26	Facility		$2,309.57	$2,698.92	$4,353.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,570.01 / $2,801.30 / $4,010.29	Professional		$1,570.01	$2,801.30	$4,010.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $908.95 / $1,439.95 / $2,035.04	Facility		$908.95	$1,439.95	$2,035.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,053.54 / $6,564.00 / $12,216.00	Facility		$1,053.54	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,124.44 / $2,997.83 / $5,544.62	Professional		$1,124.44	$2,997.83	$5,544.62
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 $908.95 / $1,439.95 / $2,035.04	Facility		$908.95	$1,439.95	$2,035.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,877.85 / $2,899.69 / $3,766.21	Professional		$1,877.85	$2,899.69	$3,766.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,124.86 / $12,124.86 / $12,124.86	Facility		$12,124.86	$12,124.86	$12,124.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,608.04 / $4,596.89 / $7,091.00	Professional		$1,608.04	$4,596.89	$7,091.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,711.68 / $4,711.68 / $4,711.68	Professional		$4,711.68	$4,711.68	$4,711.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,421.89 / $6,277.20 / $6,277.20	Professional		$4,421.89	$6,277.20	$6,277.20
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,097.92 / $2,997.83 / $4,841.64	Professional		$1,097.92	$2,997.83	$4,841.64