Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.19 / $1,858.68 / $14,482.00	Facility		$1,001.19	$1,858.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.21 / $1,001.19 / $3,312.58	Professional		$806.21	$1,001.19	$3,312.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.80 / $2,434.09 / $5,078.59	Professional		$880.80	$2,434.09	$5,078.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,354.63 / $2,751.57 / $4,438.18	Facility		$2,354.63	$2,751.57	$4,438.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.04 / $2,694.88 / $3,735.23	Professional		$1,363.04	$2,694.88	$3,735.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $937.24 / $1,130.28 / $3,108.72	Facility		$937.24	$1,130.28	$3,108.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $991.30 / $3,108.72 / $11,598.00	Facility		$991.30	$3,108.72	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,056.82 / $2,230.53 / $4,388.52	Professional		$1,056.82	$2,230.53	$4,388.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $737.50 / $1,941.86	Professional		$85.00	$737.50	$1,941.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $937.24 / $1,130.28 / $3,108.72	Facility		$937.24	$1,130.28	$3,108.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,801.15 / $2,774.13 / $3,276.15	Professional		$1,801.15	$2,774.13	$3,276.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,018.44 / $8,018.44 / $8,018.44	Facility		$8,018.44	$8,018.44	$8,018.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,405.34 / $4,461.05 / $6,836.88	Professional		$1,405.34	$4,461.05	$6,836.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,285.03 / $2,285.03 / $2,285.03	Professional		$2,285.03	$2,285.03	$2,285.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.44 / $4,923.03 / $4,923.03	Professional		$2,135.44	$4,923.03	$4,923.03
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 $1,019.28 / $2,881.76 / $4,086.86	Professional		$1,019.28	$2,881.76	$4,086.86