Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.25 / $3,397.19 / $14,482.00	Facility		$1,409.25	$3,397.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.72 / $1,409.25 / $4,203.89	Professional		$872.72	$1,409.25	$4,203.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.00 / $1,810.61 / $4,273.67	Professional		$804.00	$1,810.61	$4,273.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,494.30 / $2,914.79 / $4,701.45	Facility		$2,494.30	$2,914.79	$4,701.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.25 / $2,255.55 / $3,375.38	Professional		$1,063.25	$2,255.55	$3,375.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $847.18 / $1,131.46 / $1,901.35	Facility		$847.18	$1,131.46	$1,901.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $4,240.00 / $11,598.00	Facility		$893.00	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.18 / $1,729.31 / $6,926.24	Professional		$847.18	$1,729.31	$6,926.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $519.24 / $1,505.54	Professional		$91.28	$519.24	$1,505.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $847.18 / $1,131.46 / $2,002.53	Facility		$847.18	$1,131.46	$2,002.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,645.20 / $2,171.66 / $3,082.56	Professional		$1,645.20	$2,171.66	$3,082.56
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 $1,544.28 / $4,203.89 / $6,926.24	Professional		$1,544.28	$4,203.89	$6,926.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,437.33 / $4,437.33 / $4,437.33	Professional		$4,437.33	$4,437.33	$4,437.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,088.14 / $5,729.62 / $9,072.75	Professional		$3,088.14	$5,729.62	$9,072.75
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 $883.83 / $1,663.31 / $3,684.72	Professional		$883.83	$1,663.31	$3,684.72