Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.11 / $1,977.41 / $14,482.00	Facility		$1,220.11	$1,977.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.38 / $1,220.11 / $3,567.95	Professional		$685.38	$1,220.11	$3,567.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.13 / $2,364.00 / $5,901.97	Professional		$965.13	$2,364.00	$5,901.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,456.44 / $2,870.56 / $4,630.10	Facility		$2,456.44	$2,870.56	$4,630.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.81 / $2,981.66 / $3,939.26	Professional		$1,669.81	$2,981.66	$3,939.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $966.74 / $1,535.02 / $2,355.00	Facility		$966.74	$1,535.02	$2,355.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.61 / $2,553.00 / $7,700.00	Facility		$1,121.61	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,170.48 / $2,924.65 / $5,691.19	Professional		$1,170.48	$2,924.65	$5,691.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $980.29 / $2,232.91	Professional		$70.00	$980.29	$2,232.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $966.74 / $1,535.02 / $2,355.00	Facility		$966.74	$1,535.02	$2,355.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,999.40 / $3,087.38 / $4,008.69	Professional		$1,999.40	$3,087.38	$4,008.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,567.44 / $10,567.44 / $10,567.44	Facility		$10,567.44	$10,567.44	$10,567.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,711.57 / $4,826.14 / $9,728.00	Professional		$1,711.57	$4,826.14	$9,728.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,022.84 / $5,022.84 / $5,022.84	Professional		$5,022.84	$5,022.84	$5,022.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,490.04 / $6,681.34 / $6,681.34	Professional		$4,490.04	$6,681.34	$6,681.34
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 $1,158.28 / $2,937.73 / $4,758.21	Professional		$1,158.28	$2,937.73	$4,758.21