Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.33 / $3,363.79 / $14,482.00	Facility		$1,014.33	$3,363.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.81 / $1,014.33 / $3,363.79	Professional		$814.81	$1,014.33	$3,363.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.59 / $2,080.67 / $5,308.96	Professional		$879.59	$2,080.67	$5,308.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,392.46 / $2,795.79 / $4,288.82	Facility		$2,392.46	$2,795.79	$4,288.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.50 / $3,062.18 / $3,768.28	Professional		$1,008.50	$3,062.18	$3,768.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $878.45 / $1,174.69 / $1,965.48	Facility		$878.45	$1,174.69	$1,965.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.45 / $1,279.42 / $12,855.00	Facility		$878.45	$1,279.42	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $959.50 / $2,146.29 / $9,862.15	Professional		$959.50	$2,146.29	$9,862.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $820.07 / $1,984.20	Professional		$65.50	$820.07	$1,984.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $877.38 / $1,174.69 / $1,965.48	Facility		$877.38	$1,174.69	$1,965.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,682.40 / $2,243.76 / $3,812.18	Professional		$1,682.40	$2,243.76	$3,812.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $16,547.20 / $16,547.20	Facility		$1,043.05	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,276.44 / $4,534.55 / $9,862.15	Professional		$1,276.44	$4,534.55	$9,862.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,343.20 / $3,343.20 / $3,343.20	Professional		$3,343.20	$3,343.20	$3,343.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,557.98 / $4,601.09 / $4,601.09	Professional		$2,557.98	$4,601.09	$4,601.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.58 / $1,738.85 / $4,092.43	Professional		$899.58	$1,738.85	$4,092.43