Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.95 / $3,121.06 / $14,482.00	Facility		$1,296.95	$3,121.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.70 / $1,296.95 / $3,838.10	Professional		$802.70	$1,296.95	$3,838.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.78 / $1,674.54 / $3,933.11	Professional		$729.78	$1,674.54	$3,933.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,296.05 / $2,683.12 / $4,327.78	Facility		$2,296.05	$2,683.12	$4,327.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.69 / $2,074.05 / $3,104.75	Professional		$977.69	$2,074.05	$3,104.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $778.32 / $1,038.29 / $1,575.00	Facility		$778.32	$1,038.29	$1,575.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.03 / $4,240.00 / $11,598.00	Facility		$821.03	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $778.32 / $1,566.93 / $6,367.76	Professional		$778.32	$1,566.93	$6,367.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $454.40 / $1,388.84	Professional		$91.28	$454.40	$1,388.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $778.32 / $1,038.29 / $1,748.23	Facility		$778.32	$1,038.29	$1,748.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,511.40 / $1,995.05 / $2,831.86	Professional		$1,511.40	$1,995.05	$2,831.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,419.69 / $3,838.10 / $6,367.76	Professional		$1,419.69	$3,838.10	$6,367.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,085.50 / $4,085.50 / $4,085.50	Professional		$4,085.50	$4,085.50	$4,085.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,798.15 / $5,275.33 / $8,345.40	Professional		$2,798.15	$5,275.33	$8,345.40
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 $778.32 / $1,530.29 / $3,339.74	Professional		$778.32	$1,530.29	$3,339.74