Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.77 / $2,076.84 / $14,482.00	Facility		$930.77	$2,076.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.77 / $1,034.41 / $3,464.41	Professional		$930.77	$1,034.41	$3,464.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.96 / $2,439.41 / $7,149.09	Professional		$978.96	$2,439.41	$7,149.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,628.57 / $3,071.69 / $4,712.05	Facility		$2,628.57	$3,071.69	$4,712.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,553.38 / $3,901.54 / $4,433.56	Professional		$1,553.38	$3,901.54	$4,433.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $930.77 / $1,295.33 / $2,061.17	Facility		$930.77	$1,295.33	$2,061.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $930.77 / $1,443.09 / $13,250.00	Facility		$930.77	$1,443.09	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,058.93 / $2,137.33 / $7,526.48	Professional		$1,058.93	$2,137.33	$7,526.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $815.16 / $2,120.11	Professional		$114.21	$815.16	$2,120.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $930.77 / $1,295.33 / $2,061.17	Facility		$930.77	$1,295.33	$2,061.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,018.90 / $2,621.77 / $4,193.50	Professional		$2,018.90	$2,621.77	$4,193.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,250.25 / $14,250.25 / $14,250.25	Facility		$14,250.25	$14,250.25	$14,250.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,960.11 / $4,879.75 / $7,526.48	Professional		$1,960.11	$4,879.75	$7,526.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,501.54 / $3,501.54 / $3,501.54	Professional		$3,501.54	$3,501.54	$3,501.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,255.48 / $5,842.20 / $5,842.20	Professional		$3,255.48	$5,842.20	$5,842.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.08 / $2,261.13 / $5,396.91	Professional		$1,098.08	$2,261.13	$5,396.91