Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.96 / $1,792.44 / $14,482.00	Facility		$1,105.96	$1,792.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.59 / $1,105.96 / $3,735.02	Professional		$620.59	$1,105.96	$3,735.02
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 $876.82 / $2,144.34 / $5,351.44	Professional		$876.82	$2,144.34	$5,351.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,226.67 / $2,602.04 / $4,196.99	Facility		$2,226.67	$2,602.04	$4,196.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.61 / $2,702.67 / $3,988.88	Professional		$1,513.61	$2,702.67	$3,988.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $876.30 / $1,391.29 / $2,590.50	Facility		$876.30	$1,391.29	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,016.31 / $2,803.00 / $7,700.00	Facility		$1,016.31	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,086.49 / $2,955.13 / $5,159.59	Professional		$1,086.49	$2,955.13	$5,159.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $886.13 / $2,063.40	Professional		$70.00	$886.13	$2,063.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $876.30 / $1,391.29 / $2,590.50	Facility		$876.30	$1,391.29	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,811.55 / $2,797.31 / $3,633.60	Professional		$1,811.55	$2,797.31	$3,633.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,704.66 / $11,704.66 / $11,704.66	Facility		$11,704.66	$11,704.66	$11,704.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,551.43 / $4,399.57 / $10,574.00	Professional		$1,551.43	$4,399.57	$10,574.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,554.30 / $4,554.30 / $4,554.30	Professional		$4,554.30	$4,554.30	$4,554.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,341.76 / $6,056.28 / $6,056.28	Professional		$4,341.76	$6,056.28	$6,056.28
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 $1,061.18 / $2,909.54 / $4,937.41	Professional		$1,061.18	$2,909.54	$4,937.41