Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.84 / $2,558.58 / $14,482.00	Facility		$1,068.84	$2,558.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.61 / $1,068.84 / $3,095.85	Professional		$660.61	$1,068.84	$3,095.85
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 $579.27 / $1,380.04 / $3,241.39	Professional		$579.27	$1,380.04	$3,241.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,891.45 / $2,210.31 / $3,565.15	Facility		$1,891.45	$2,210.31	$3,565.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.69 / $1,702.80 / $2,552.96	Professional		$802.69	$1,702.80	$2,552.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $638.04 / $885.44 / $1,435.62	Facility		$638.04	$885.44	$1,435.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $674.76 / $4,240.00 / $11,598.00	Facility		$674.76	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $626.76 / $1,263.10 / $5,229.04	Professional		$626.76	$1,263.10	$5,229.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $397.29 / $1,125.08	Professional		$62.75	$397.29	$1,125.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $638.04 / $885.44 / $1,435.62	Facility		$638.04	$885.44	$1,435.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,635.48 / $2,321.46	Professional		$1,239.00	$1,635.48	$2,321.46
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 $1,162.46 / $3,095.85 / $5,229.04	Professional		$1,162.46	$3,095.85	$5,229.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,373.65 / $3,373.65 / $3,373.65	Professional		$3,373.65	$3,373.65	$3,373.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,771.64 / $4,356.16 / $6,862.26	Professional		$1,771.64	$4,356.16	$6,862.26
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 $651.41 / $1,257.66 / $2,713.51	Professional		$651.41	$1,257.66	$2,713.51