Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.21 / $3,492.03 / $14,482.00	Facility		$1,053.21	$3,492.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.63 / $1,053.21 / $2,708.33	Professional		$882.63	$1,053.21	$2,708.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,982.00 / $10,598.00	Facility		$2,740.00	$4,982.00	$10,598.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.54 / $2,160.42 / $5,509.71	Professional		$923.54	$2,160.42	$5,509.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,478.08 / $2,895.83 / $4,442.28	Facility		$2,478.08	$2,895.83	$4,442.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.29 / $3,188.06 / $3,910.80	Professional		$1,025.29	$3,188.06	$3,910.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $916.21 / $1,230.86 / $2,097.01	Facility		$916.21	$1,230.86	$2,097.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.21 / $1,354.36 / $11,955.00	Facility		$916.21	$1,354.36	$11,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,008.96 / $2,234.52 / $9,072.81	Professional		$1,008.96	$2,234.52	$9,072.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $847.76 / $2,060.21	Professional		$65.00	$847.76	$2,060.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $916.21 / $1,230.86 / $2,100.00	Facility		$916.21	$1,230.86	$2,100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,748.40 / $2,331.78 / $3,956.36	Professional		$1,748.40	$2,331.78	$3,956.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $7,909.30 / $7,909.30	Facility		$1,084.92	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,324.71 / $4,720.95 / $9,072.81	Professional		$1,324.71	$4,720.95	$9,072.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,474.10 / $3,474.10 / $3,474.10	Professional		$3,474.10	$3,474.10	$3,474.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,165.47 / $4,775.10 / $4,775.10	Professional		$3,165.47	$4,775.10	$4,775.10
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 $987.52 / $2,067.78 / $4,260.66	Professional		$987.52	$2,067.78	$4,260.66