Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.91 / $1,878.59 / $14,482.00	Facility		$1,005.91	$1,878.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.29 / $1,005.91 / $2,690.64	Professional		$873.29	$1,005.91	$2,690.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.86 / $2,063.40 / $5,306.32	Professional		$889.86	$2,063.40	$5,306.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,355.53 / $2,752.62 / $4,222.59	Facility		$2,355.53	$2,752.62	$4,222.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.05 / $3,138.06 / $3,749.19	Professional		$1,056.05	$3,138.06	$3,749.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $909.16 / $1,156.82 / $1,911.00	Facility		$909.16	$1,156.82	$1,911.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $911.18 / $1,350.50 / $4,377.80	Facility		$911.18	$1,350.50	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $979.87 / $2,164.39 / $6,888.80	Professional		$979.87	$2,164.39	$6,888.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $644.44 / $1,975.61	Professional		$63.88	$644.44	$1,975.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $909.16 / $1,134.63 / $1,911.00	Facility		$909.16	$1,134.63	$1,911.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,728.60 / $2,305.38 / $3,792.87	Professional		$1,728.60	$2,305.38	$3,792.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,082.58 / $8,801.84 / $8,801.84	Facility		$1,082.58	$8,801.84	$8,801.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,602.92 / $4,453.95 / $6,888.80	Professional		$1,602.92	$4,453.95	$6,888.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,345.89 / $3,345.89 / $3,345.89	Professional		$3,345.89	$3,345.89	$3,345.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,034.97 / $4,577.77 / $4,577.77	Professional		$3,034.97	$4,577.77	$4,577.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.78 / $2,234.85 / $4,019.69	Professional		$957.78	$2,234.85	$4,019.69