Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.59 / $3,626.04 / $14,482.00	Facility		$1,488.59	$3,626.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.19 / $1,488.59 / $4,764.20	Professional		$942.19	$1,488.59	$4,764.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.15 / $1,921.97 / $4,637.38	Professional		$942.15	$1,921.97	$4,637.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,628.57 / $3,071.69 / $4,954.52	Facility		$2,628.57	$3,071.69	$4,954.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.81 / $2,392.50 / $3,579.29	Professional		$1,127.81	$2,392.50	$3,579.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $906.79 / $1,333.25 / $1,889.56	Facility		$906.79	$1,333.25	$1,889.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $953.32 / $4,103.00 / $8,384.00	Facility		$953.32	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $950.63 / $1,982.67 / $7,377.92	Professional		$950.63	$1,982.67	$7,377.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $561.24 / $1,662.58	Professional		$91.28	$561.24	$1,662.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $906.79 / $1,333.25 / $2,016.74	Facility		$906.79	$1,333.25	$2,016.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,757.40 / $2,319.77 / $3,292.78	Professional		$1,757.40	$2,319.77	$3,292.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,947.34 / $6,947.34 / $6,947.34	Facility		$6,947.34	$6,947.34	$6,947.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,637.58 / $4,764.20 / $7,377.92	Professional		$1,637.58	$4,764.20	$7,377.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,659.12 / $4,659.12 / $4,659.12	Professional		$4,659.12	$4,659.12	$4,659.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,694.09 / $6,016.00 / $9,620.95	Professional		$3,694.09	$6,016.00	$9,620.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.44 / $1,905.68 / $4,175.82	Professional		$951.44	$1,905.68	$4,175.82