Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.55 / $1,995.32 / $14,482.00	Facility		$1,076.55	$1,995.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.82 / $1,076.55 / $2,829.06	Professional		$923.82	$1,076.55	$2,829.06
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 $936.53 / $2,208.30 / $5,705.38	Professional		$936.53	$2,208.30	$5,705.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,537.55 / $2,965.33 / $4,548.89	Facility		$2,537.55	$2,965.33	$4,548.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.03 / $3,355.17 / $4,004.10	Professional		$1,091.03	$3,355.17	$4,004.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $961.43 / $1,240.30 / $2,090.00	Facility		$961.43	$1,240.30	$2,090.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $958.86 / $1,390.40 / $4,821.00	Facility		$958.86	$1,390.40	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,008.34 / $2,254.00 / $7,297.36	Professional		$1,008.34	$2,254.00	$7,297.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $886.00 / $2,146.11	Professional		$65.50	$886.00	$2,146.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $961.43 / $1,240.30 / $2,090.00	Facility		$961.43	$1,240.30	$2,090.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,816.80 / $2,423.01 / $4,050.75	Professional		$1,816.80	$2,423.01	$4,050.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,129.03 / $9,328.24 / $9,328.24	Facility		$1,129.03	$9,328.24	$9,328.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,657.25 / $4,762.10 / $7,297.36	Professional		$1,657.25	$4,762.10	$7,297.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,597.51 / $3,597.51 / $3,597.51	Professional		$3,597.51	$3,597.51	$3,597.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,223.55 / $4,889.05 / $4,889.05	Professional		$3,223.55	$4,889.05	$4,889.05
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 $998.74 / $2,011.90 / $4,297.80	Professional		$998.74	$2,011.90	$4,297.80