Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.93 / $3,119.00 / $14,482.00	Facility		$1,477.93	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.34 / $1,477.93 / $4,793.95	Professional		$946.34	$1,477.93	$4,793.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.40 / $1,908.21 / $4,605.67	Professional		$935.40	$1,908.21	$4,605.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,617.75 / $3,059.05 / $4,934.14	Facility		$2,617.75	$3,059.05	$4,934.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.48 / $2,387.55 / $3,564.79	Professional		$1,125.48	$2,387.55	$3,564.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $902.11 / $1,356.00 / $1,919.27	Facility		$902.11	$1,356.00	$1,919.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.31 / $4,103.00 / $8,384.00	Facility		$960.31	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $951.90 / $1,995.05 / $7,347.12	Professional		$951.90	$1,995.05	$7,347.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $558.84 / $1,619.79	Professional		$91.28	$558.84	$1,619.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $902.11 / $1,356.00 / $2,012.46	Facility		$902.11	$1,356.00	$2,012.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,753.20 / $2,314.21 / $3,284.91	Professional		$1,753.20	$2,314.21	$3,284.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,919.08 / $6,919.08 / $6,919.08	Facility		$6,919.08	$6,919.08	$6,919.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,630.95 / $4,793.95 / $7,347.12	Professional		$1,630.95	$4,793.95	$7,347.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,612.43 / $4,612.43 / $4,612.43	Professional		$4,612.43	$4,612.43	$4,612.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,785.71 / $5,955.72 / $9,581.98	Professional		$3,785.71	$5,955.72	$9,581.98
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 $976.66 / $1,953.32 / $4,276.20	Professional		$976.66	$1,953.32	$4,276.20