Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.47 / $1,932.48 / $14,482.00	Facility		$1,029.47	$1,932.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $838.52 / $1,029.47 / $3,217.91	Professional		$838.52	$1,029.47	$3,217.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $909.90 / $2,518.03 / $5,202.53	Professional		$909.90	$2,518.03	$5,202.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,446.54 / $2,858.98 / $4,611.43	Facility		$2,446.54	$2,858.98	$4,611.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,417.15 / $2,799.95 / $3,881.26	Professional		$1,417.15	$2,799.95	$3,881.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $944.77 / $1,030.66 / $1,846.59	Facility		$944.77	$1,030.66	$1,846.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,029.47 / $2,553.00 / $7,700.00	Facility		$1,029.47	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.77 / $2,287.63 / $4,249.31	Professional		$1,038.77	$2,287.63	$4,249.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $731.51 / $1,950.74	Professional		$85.00	$731.51	$1,950.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $944.77 / $1,030.66 / $1,846.59	Facility		$944.77	$1,030.66	$1,846.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,873.30 / $2,882.00 / $3,407.39	Professional		$1,873.30	$2,882.00	$3,407.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,845.25 / $7,845.25 / $7,845.25	Facility		$7,845.25	$7,845.25	$7,845.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,460.14 / $4,575.25 / $8,328.64	Professional		$1,460.14	$4,575.25	$8,328.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,350.71 / $2,350.71 / $2,350.71	Professional		$2,350.71	$2,350.71	$2,350.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,319.83 / $5,115.00 / $5,115.00	Professional		$2,319.83	$5,115.00	$5,115.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.19 / $2,763.28 / $3,934.72	Professional		$1,093.19	$2,763.28	$3,934.72