Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.64 / $3,614.93 / $14,482.00	Facility		$1,088.64	$3,614.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.57 / $1,088.64 / $2,725.66	Professional		$902.57	$1,088.64	$2,725.66
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 $939.59 / $2,210.66 / $5,715.04	Professional		$939.59	$2,210.66	$5,715.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,584.41 / $3,020.09 / $4,632.89	Facility		$2,584.41	$3,020.09	$4,632.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.92 / $3,196.56 / $4,028.38	Professional		$1,025.92	$3,196.56	$4,028.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $916.40 / $1,217.00 / $1,938.18	Facility		$916.40	$1,217.00	$1,938.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.40 / $1,342.38 / $12,855.00	Facility		$916.40	$1,342.38	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $995.67 / $2,240.48 / $7,375.48	Professional		$995.67	$2,240.48	$7,375.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $872.51 / $2,133.56	Professional		$92.31	$872.51	$2,133.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $916.40 / $1,218.74 / $1,938.18	Facility		$916.40	$1,218.74	$1,938.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,791.60 / $2,389.40 / $4,075.31	Professional		$1,791.60	$2,389.40	$4,075.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,110.75 / $16,547.20 / $16,547.20	Facility		$1,110.75	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,364.55 / $4,733.55 / $7,375.48	Professional		$1,364.55	$4,733.55	$7,375.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,603.61 / $3,603.61 / $3,603.61	Professional		$3,603.61	$3,603.61	$3,603.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,048.19 / $4,918.70 / $4,918.70	Professional		$3,048.19	$4,918.70	$4,918.70
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 $949.76 / $2,239.59 / $4,272.03	Professional		$949.76	$2,239.59	$4,272.03