Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.82 / $1,929.10 / $14,482.00	Facility		$1,010.82	$1,929.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.23 / $1,010.82 / $3,149.85	Professional		$950.23	$1,010.82	$3,149.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.33 / $2,463.66 / $5,344.02	Professional		$928.33	$2,463.66	$5,344.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,421.31 / $2,829.49 / $4,563.87	Facility		$2,421.31	$2,829.49	$4,563.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,277.50 / $2,929.56 / $3,875.53	Professional		$1,277.50	$2,929.56	$3,875.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $943.12 / $1,299.66 / $1,843.37	Facility		$943.12	$1,299.66	$1,843.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,010.82 / $4,240.00 / $11,598.00	Facility		$1,010.82	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,092.33 / $2,265.07 / $4,994.31	Professional		$1,092.33	$2,265.07	$4,994.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $769.02 / $1,983.36	Professional		$85.00	$769.02	$1,983.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,010.82 / $1,299.66 / $1,843.37	Facility		$1,010.82	$1,299.66	$1,843.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,838.20 / $2,838.46 / $3,343.54	Professional		$1,838.20	$2,838.46	$3,343.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,305.50 / $4,605.85 / $8,252.00	Professional		$1,305.50	$4,605.85	$8,252.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,564.50 / $2,564.50 / $2,564.50	Professional		$2,564.50	$2,564.50	$2,564.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,699.03 / $4,535.56 / $4,535.56	Professional		$2,699.03	$4,535.56	$4,535.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.77 / $2,706.45 / $4,380.49	Professional		$1,070.77	$2,706.45	$4,380.49