Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.41 / $1,353.60 / $14,482.00	Facility		$610.41	$1,353.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.41 / $664.93 / $2,556.80	Professional		$610.41	$664.93	$2,556.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.06 / $1,489.97 / $3,786.13	Professional		$660.06	$1,489.97	$3,786.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,693.20 / $1,978.64 / $3,035.29	Facility		$1,693.20	$1,978.64	$3,035.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.35 / $2,542.98 / $2,889.75	Professional		$1,011.35	$2,542.98	$2,889.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $610.41 / $827.20 / $1,353.60	Facility		$610.41	$827.20	$1,353.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.41 / $955.96 / $1,778.00	Facility		$610.41	$955.96	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $764.62 / $1,319.12 / $4,956.56	Professional		$764.62	$1,319.12	$4,956.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.06 / $707.22 / $1,563.91	Professional		$379.06	$707.22	$1,563.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $610.41 / $807.77 / $1,353.60	Facility		$610.41	$807.77	$1,353.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,330.38 / $1,622.02 / $2,421.35	Professional		$1,330.38	$1,622.02	$2,421.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,100.31 / $3,100.31 / $3,100.31	Facility		$3,100.31	$3,100.31	$3,100.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,277.58 / $3,281.40 / $4,956.56	Professional		$1,277.58	$3,281.40	$4,956.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,310.46 / $2,310.46 / $2,310.46	Professional		$2,310.46	$2,310.46	$2,310.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.76 / $3,623.64 / $3,807.91	Professional		$2,089.76	$3,623.64	$3,807.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $749.91 / $1,263.64 / $2,995.92	Professional		$749.91	$1,263.64	$2,995.92