Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.08 / $2,028.62 / $14,482.00	Facility		$1,069.08	$2,028.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $1,069.08 / $3,168.42	Professional		$877.00	$1,069.08	$3,168.42
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 $926.81 / $2,478.91 / $5,304.45	Professional		$926.81	$2,478.91	$5,304.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,571.80 / $3,005.35 / $4,847.52	Facility		$2,571.80	$3,005.35	$4,847.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.66 / $2,931.39 / $4,093.15	Professional		$1,487.66	$2,931.39	$4,093.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $991.77 / $1,203.10 / $4,921.56	Facility		$991.77	$1,203.10	$4,921.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,069.08 / $4,921.56 / $16,779.00	Facility		$1,069.08	$4,921.56	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,077.08 / $2,340.42 / $4,686.08	Professional		$1,077.08	$2,340.42	$4,686.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $631.54 / $2,022.89	Professional		$85.00	$631.54	$2,022.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $991.77 / $1,203.10 / $4,921.56	Facility		$991.77	$1,203.10	$4,921.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,959.75 / $2,961.69 / $3,564.63	Professional		$1,959.75	$2,961.69	$3,564.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,366.64 / $9,366.64 / $9,366.64	Facility		$9,366.64	$9,366.64	$9,366.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,528.68 / $4,642.05 / $10,000.00	Professional		$1,528.68	$4,642.05	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,437.91 / $2,437.91 / $2,437.91	Professional		$2,437.91	$2,437.91	$2,437.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,435.25 / $5,355.09 / $5,355.09	Professional		$2,435.25	$5,355.09	$5,355.09
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.15 / $2,837.04 / $4,068.76	Professional		$1,010.15	$2,837.04	$4,068.76