Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.96 / $2,079.94 / $14,482.00	Facility		$1,022.96	$2,079.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.99 / $1,041.72 / $3,558.84	Professional		$960.99	$1,041.72	$3,558.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.59 / $2,727.91 / $6,906.94	Professional		$994.59	$2,727.91	$6,906.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,612.35 / $3,052.73 / $4,923.95	Facility		$2,612.35	$3,052.73	$4,923.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.39 / $3,158.83 / $4,181.91	Professional		$1,377.39	$3,158.83	$4,181.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,016.86 / $1,303.09 / $1,987.50	Facility		$1,016.86	$1,303.09	$1,987.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,022.96 / $4,103.00 / $8,384.00	Facility		$1,022.96	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,178.27 / $2,717.30 / $6,805.59	Professional		$1,178.27	$2,717.30	$6,805.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $654.85 / $2,082.33	Professional		$62.69	$654.85	$2,082.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,016.86 / $1,303.09 / $1,987.50	Facility		$1,016.86	$1,303.09	$1,987.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,980.55 / $3,058.27 / $4,098.76	Professional		$1,980.55	$3,058.27	$4,098.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,466.87 / $9,466.87 / $9,466.87	Facility		$9,466.87	$9,466.87	$9,466.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,407.68 / $4,940.55 / $7,555.44	Professional		$1,407.68	$4,940.55	$7,555.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,174.06 / $5,174.06 / $5,174.06	Professional		$5,174.06	$5,174.06	$5,174.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.02 / $5,972.99 / $5,972.99	Professional		$2,089.02	$5,972.99	$5,972.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.27 / $3,020.47 / $4,875.89	Professional		$1,178.27	$3,020.47	$4,875.89