Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.03 / $2,123.44 / $14,482.00	Facility		$1,140.03	$2,123.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.81 / $1,140.03 / $2,918.51	Professional		$958.81	$1,140.03	$2,918.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.80 / $2,338.52 / $5,986.50	Professional		$989.80	$2,338.52	$5,986.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,684.44 / $3,136.98 / $4,812.20	Facility		$2,684.44	$3,136.98	$4,812.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.68 / $3,472.20 / $4,249.18	Professional		$1,116.68	$3,472.20	$4,249.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $983.64 / $1,274.06 / $2,058.69	Facility		$983.64	$1,274.06	$2,058.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $983.64 / $1,385.72 / $4,821.00	Facility		$983.64	$1,385.72	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,059.95 / $2,332.62 / $7,710.96	Professional		$1,059.95	$2,332.62	$7,710.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $696.54 / $2,149.22	Professional		$65.00	$696.54	$2,149.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $983.64 / $1,254.06 / $2,058.69	Facility		$983.64	$1,254.06	$2,058.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,878.00 / $2,504.63 / $4,298.70	Professional		$1,878.00	$2,504.63	$4,298.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,175.30 / $8,500.24 / $8,500.24	Facility		$1,175.30	$8,500.24	$8,500.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,655.28 / $4,928.20 / $7,710.96	Professional		$1,655.28	$4,928.20	$7,710.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,739.04 / $3,739.04 / $3,739.04	Professional		$3,739.04	$3,739.04	$3,739.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,430.53 / $5,188.31 / $5,188.31	Professional		$3,430.53	$5,188.31	$5,188.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,027.95 / $2,270.71 / $5,241.25	Professional		$1,027.95	$2,270.71	$5,241.25