Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.35 / $3,119.00 / $14,482.00	Facility		$1,312.35	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.36 / $1,312.35 / $3,889.40	Professional		$812.36	$1,312.35	$3,889.40
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 $740.19 / $1,694.42 / $3,979.81	Professional		$740.19	$1,694.42	$3,979.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,323.09 / $2,714.71 / $4,378.72	Facility		$2,323.09	$2,714.71	$4,378.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.36 / $2,098.80 / $3,142.70	Professional		$989.36	$2,098.80	$3,142.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $787.66 / $1,050.96 / $1,711.50	Facility		$787.66	$1,050.96	$1,711.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $830.96 / $4,240.00 / $11,598.00	Facility		$830.96	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $787.66 / $1,590.91 / $6,446.40	Professional		$787.66	$1,590.91	$6,446.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $454.40 / $1,428.97	Professional		$91.28	$454.40	$1,428.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $787.66 / $1,050.96 / $1,768.78	Facility		$787.66	$1,050.96	$1,768.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,529.40 / $2,018.81 / $2,865.59	Professional		$1,529.40	$2,018.81	$2,865.59
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 $1,436.65 / $3,889.40 / $6,446.40	Professional		$1,436.65	$3,889.40	$6,446.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,133.91 / $4,133.91 / $4,133.91	Professional		$4,133.91	$4,133.91	$4,133.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,841.00 / $5,337.83 / $8,447.41	Professional		$2,841.00	$5,337.83	$8,447.41
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 $784.35 / $1,555.76 / $3,384.38	Professional		$784.35	$1,555.76	$3,384.38