Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.09 / $3,334.68 / $14,482.00	Facility		$1,011.09	$3,334.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.02 / $1,011.09 / $2,648.05	Professional		$840.02	$1,011.09	$2,648.05
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 $859.85 / $2,074.04 / $5,291.75	Professional		$859.85	$2,074.04	$5,291.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,396.98 / $2,801.06 / $4,296.89	Facility		$2,396.98	$2,801.06	$4,296.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.00 / $2,880.41 / $3,747.13	Professional		$972.00	$2,880.41	$3,747.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $873.90 / $1,122.65 / $2,025.01	Facility		$873.90	$1,122.65	$2,025.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.49 / $1,225.18 / $12,855.00	Facility		$866.49	$1,225.18	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $926.65 / $2,018.90 / $9,218.11	Professional		$926.65	$2,018.90	$9,218.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $624.92 / $1,845.55	Professional		$65.00	$624.92	$1,845.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $866.49 / $1,120.00 / $2,005.44	Facility		$866.49	$1,120.00	$2,005.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,642.80 / $2,190.94 / $3,790.78	Professional		$1,642.80	$2,190.94	$3,790.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,018.50 / $16,547.20 / $16,547.20	Facility		$1,018.50	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,269.27 / $4,265.39 / $9,218.11	Professional		$1,269.27	$4,265.39	$9,218.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,336.71 / $3,336.71 / $3,336.71	Professional		$3,336.71	$3,336.71	$3,336.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,022.83 / $4,575.21 / $4,575.21	Professional		$3,022.83	$4,575.21	$4,575.21
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 $912.71 / $1,876.78 / $3,894.31	Professional		$912.71	$1,876.78	$3,894.31