Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.05 / $1,790.06 / $14,482.00	Facility		$1,105.05	$1,790.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $1,105.05 / $3,227.97	Professional		$620.00	$1,105.05	$3,227.97
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 $875.62 / $2,141.77 / $5,347.03	Professional		$875.62	$2,141.77	$5,347.03
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 $1,511.59 / $2,699.06 / $4,043.09	Professional		$1,511.59	$2,699.06	$4,043.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $875.14 / $1,390.17 / $2,015.88	Facility		$875.14	$1,390.17	$2,015.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,014.88 / $2,553.00 / $7,700.00	Facility		$1,014.88	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,085.16 / $2,945.13 / $5,153.28	Professional		$1,085.16	$2,945.13	$5,153.28
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 $875.14 / $1,390.17 / $2,015.88	Facility		$875.14	$1,390.17	$2,015.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,808.95 / $2,793.30 / $3,628.75	Professional		$1,808.95	$2,793.30	$3,628.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,688.16 / $11,688.16 / $11,688.16	Facility		$11,688.16	$11,688.16	$11,688.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,549.35 / $4,370.00 / $10,151.00	Professional		$1,549.35	$4,370.00	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,550.55 / $4,550.55 / $4,550.55	Professional		$4,550.55	$4,550.55	$4,550.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,410.64 / $6,048.14 / $6,048.14	Professional		$3,410.64	$6,048.14	$6,048.14
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 $905.85 / $2,847.14 / $4,473.06	Professional		$905.85	$2,847.14	$4,473.06