Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.80 / $1,721.36 / $14,482.00	Facility		$1,003.80	$1,721.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.91 / $1,003.80 / $3,944.00	Professional		$724.91	$1,003.80	$3,944.00
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 $842.37 / $2,118.17 / $3,817.22	Professional		$842.37	$2,118.17	$3,817.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,156.38 / $2,519.90 / $4,064.51	Facility		$2,156.38	$2,519.90	$4,064.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,185.82 / $2,429.23 / $2,874.33	Professional		$1,185.82	$2,429.23	$2,874.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $869.31 / $1,174.45 / $2,950.95	Facility		$869.31	$1,174.45	$2,950.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $869.31 / $2,950.95 / $8,384.00	Facility		$869.31	$2,950.95	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $993.09 / $1,927.75 / $3,748.79	Professional		$993.09	$1,927.75	$3,748.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,187.42 / $2,222.93	Professional		$85.00	$1,187.42	$2,222.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $869.31 / $1,174.45 / $2,950.95	Facility		$869.31	$1,174.45	$2,950.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,767.35 / $2,443.84 / $3,087.70	Professional		$1,767.35	$2,443.84	$3,087.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,592.40 / $7,592.40 / $7,592.40	Facility		$7,592.40	$7,592.40	$7,592.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,220.33 / $4,200.25 / $6,442.48	Professional		$1,220.33	$4,200.25	$6,442.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,565.88 / $1,565.88 / $1,565.88	Professional		$1,565.88	$1,565.88	$1,565.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,745.01 / $2,625.73 / $2,625.73	Professional		$1,745.01	$2,625.73	$2,625.73
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 $959.62 / $1,956.62 / $3,234.19	Professional		$959.62	$1,956.62	$3,234.19