Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.95 / $3,119.00 / $14,482.00	Facility		$1,085.95	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.27 / $1,085.95 / $2,904.51	Professional		$925.27	$1,085.95	$2,904.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $962.37 / $2,227.59 / $5,728.78	Professional		$962.37	$2,227.59	$5,728.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,543.86 / $2,972.70 / $4,560.20	Facility		$2,543.86	$2,972.70	$4,560.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.00 / $3,389.69 / $4,048.70	Professional		$1,134.00	$3,389.69	$4,048.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $983.72 / $1,251.08 / $2,071.52	Facility		$983.72	$1,251.08	$2,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $966.38 / $1,454.18 / $7,318.00	Facility		$966.38	$1,454.18	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,051.14 / $2,287.07 / $7,438.40	Professional		$1,051.14	$2,287.07	$7,438.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $711.03 / $2,184.19	Professional		$65.00	$711.03	$2,184.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $962.40 / $1,246.98 / $2,071.52	Facility		$962.40	$1,246.98	$2,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,866.00 / $2,488.62 / $4,095.87	Professional		$1,866.00	$2,488.62	$4,095.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,168.74 / $9,503.68 / $9,503.68	Facility		$1,168.74	$9,503.68	$9,503.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,730.51 / $4,811.05 / $7,438.40	Professional		$1,730.51	$4,811.05	$7,438.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,612.26 / $3,612.26 / $3,612.26	Professional		$3,612.26	$3,612.26	$3,612.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.37 / $4,943.47 / $4,943.47	Professional		$2,991.37	$4,943.47	$4,943.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.72 / $1,924.42 / $4,341.97	Professional		$984.72	$1,924.42	$4,341.97