Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.89 / $3,378.75 / $14,482.00	Facility		$1,015.89	$3,378.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.49 / $1,015.89 / $2,758.48	Professional		$854.49	$1,015.89	$2,758.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.33 / $2,083.87 / $5,364.49	Professional		$896.33	$2,083.87	$5,364.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,378.06 / $2,778.95 / $4,262.97	Facility		$2,378.06	$2,778.95	$4,262.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,054.59 / $3,170.94 / $3,787.15	Professional		$1,054.59	$3,170.94	$3,787.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $902.03 / $1,137.71 / $1,849.17	Facility		$902.03	$1,137.71	$1,849.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.75 / $1,259.58 / $9,023.60	Facility		$920.75	$1,259.58	$9,023.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $990.13 / $2,130.21 / $7,251.24	Professional		$990.13	$2,130.21	$7,251.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $643.06 / $2,029.87	Professional		$63.88	$643.06	$2,029.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $902.03 / $1,138.99 / $1,849.17	Facility		$902.03	$1,138.99	$1,849.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,745.40 / $2,327.78 / $3,831.27	Professional		$1,745.40	$2,327.78	$3,831.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,094.99 / $8,223.00 / $8,223.00	Facility		$1,094.99	$8,223.00	$8,223.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,619.76 / $4,500.60 / $7,251.24	Professional		$1,619.76	$4,500.60	$7,251.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,382.57 / $3,382.57 / $3,382.57	Professional		$3,382.57	$3,382.57	$3,382.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,242.17 / $4,624.13 / $4,624.13	Professional		$2,242.17	$4,624.13	$4,624.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $961.13 / $1,919.01 / $4,061.79	Professional		$961.13	$1,919.01	$4,061.79