Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.98 / $1,948.25 / $14,482.00	Facility		$1,049.98	$1,948.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.02 / $1,049.98 / $2,780.49	Professional		$893.02	$1,049.98	$2,780.49
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 $933.05 / $2,153.80 / $5,496.85	Professional		$933.05	$2,153.80	$5,496.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,434.83 / $2,845.29 / $4,364.74	Facility		$2,434.83	$2,845.29	$4,364.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.42 / $3,263.38 / $3,881.15	Professional		$1,076.42	$3,263.38	$3,881.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $949.57 / $1,228.48 / $2,320.50	Facility		$949.57	$1,228.48	$2,320.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $949.00 / $1,447.14 / $4,821.00	Facility		$949.00	$1,447.14	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,019.06 / $2,266.69 / $7,845.00	Professional		$1,019.06	$2,266.69	$7,845.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $671.93 / $2,083.93	Professional		$63.88	$671.93	$2,083.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $949.57 / $1,228.48 / $2,320.50	Facility		$949.57	$1,228.48	$2,320.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,768.80 / $2,358.98 / $3,926.37	Professional		$1,768.80	$2,358.98	$3,926.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,113.11 / $9,048.00 / $9,048.00	Facility		$1,113.11	$9,048.00	$9,048.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,616.51 / $4,651.70 / $7,845.00	Professional		$1,616.51	$4,651.70	$7,845.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,466.03 / $3,466.03 / $3,466.03	Professional		$3,466.03	$3,466.03	$3,466.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,893.68 / $4,738.89 / $4,738.89	Professional		$2,893.68	$4,738.89	$4,738.89
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 $989.25 / $1,951.32 / $4,198.16	Professional		$989.25	$1,951.32	$4,198.16