Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,099.03 / $2,056.48 / $14,482.00	Facility		$1,099.03	$2,056.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.04 / $1,099.03 / $3,722.00	Professional		$937.04	$1,099.03	$3,722.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.93 / $2,203.17 / $5,731.26	Professional		$971.93	$2,203.17	$5,731.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,595.23 / $3,032.73 / $4,652.28	Facility		$2,595.23	$3,032.73	$4,652.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.07 / $1,979.58 / $4,093.53	Professional		$1,048.07	$1,979.58	$4,093.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $955.42 / $1,360.70 / $2,892.72	Facility		$955.42	$1,360.70	$2,892.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.79 / $2,741.97 / $15,126.00	Facility		$1,096.79	$2,741.97	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,024.33 / $1,766.23 / $6,263.21	Professional		$1,024.33	$1,766.23	$6,263.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $769.65 / $1,990.47	Professional		$61.84	$769.65	$1,990.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $955.42 / $1,360.70 / $2,892.72	Facility		$955.42	$1,360.70	$2,892.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,909.12 / $2,447.81 / $4,141.21	Professional		$1,909.12	$2,447.81	$4,141.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,221.88 / $16,547.20 / $16,547.20	Facility		$11,221.88	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,386.61 / $4,187.75 / $9,966.91	Professional		$1,386.61	$4,187.75	$9,966.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,613.83 / $3,613.83 / $3,613.83	Professional		$3,613.83	$3,613.83	$3,613.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,566.94 / $4,998.18 / $4,998.18	Professional		$3,566.94	$4,998.18	$4,998.18
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $989.48 / $1,571.46 / $4,380.92	Professional		$989.48	$1,571.46	$4,380.92