Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.71 / $1,998.20 / $14,482.00	Facility		$1,071.71	$1,998.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.25 / $1,071.71 / $2,886.57	Professional		$911.25	$1,071.71	$2,886.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.88 / $2,198.38 / $5,662.20	Professional		$953.88	$2,198.38	$5,662.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,500.61 / $2,922.16 / $4,482.67	Facility		$2,500.61	$2,922.16	$4,482.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.21 / $3,342.24 / $3,990.76	Professional		$1,133.21	$3,342.24	$3,990.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $974.75 / $1,243.33 / $2,079.00	Facility		$974.75	$1,243.33	$2,079.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.07 / $1,428.70 / $4,821.00	Facility		$973.07	$1,428.70	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,043.55 / $2,326.28 / $7,348.88	Professional		$1,043.55	$2,326.28	$7,348.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $902.27 / $2,229.34	Professional		$90.73	$902.27	$2,229.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $973.07 / $1,240.04 / $2,079.00	Facility		$973.07	$1,240.04	$2,079.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,845.00 / $2,460.62 / $4,037.26	Professional		$1,845.00	$2,460.62	$4,037.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,159.75 / $9,388.95 / $9,388.95	Facility		$1,159.75	$9,388.95	$9,388.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,721.27 / $4,776.30 / $7,348.88	Professional		$1,721.27	$4,776.30	$7,348.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,570.27 / $3,570.27 / $3,570.27	Professional		$3,570.27	$3,570.27	$3,570.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,228.21 / $4,872.72 / $4,872.72	Professional		$3,228.21	$4,872.72	$4,872.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.04 / $2,448.11 / $4,948.92	Professional		$1,041.04	$2,448.11	$4,948.92