Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.08 / $2,748.49 / $14,482.00	Facility		$1,120.08	$2,748.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.21 / $1,120.08 / $3,651.35	Professional		$720.21	$1,120.08	$3,651.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.51 / $1,446.19 / $3,489.50	Professional		$717.51	$1,446.19	$3,489.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,977.96 / $2,311.40 / $3,728.21	Facility		$1,977.96	$2,311.40	$3,728.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.86 / $1,809.23 / $2,699.99	Professional		$852.86	$1,809.23	$2,699.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $685.41 / $1,033.30 / $1,525.25	Facility		$685.41	$1,033.30	$1,525.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $737.22 / $4,103.00 / $8,384.00	Facility		$737.22	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.51 / $1,519.55 / $5,574.16	Professional		$734.51	$1,519.55	$5,574.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $421.79 / $1,231.50	Professional		$62.75	$421.79	$1,231.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $685.41 / $1,033.30 / $1,784.93	Facility		$685.41	$1,033.30	$1,784.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,332.60 / $1,759.03 / $2,496.85	Professional		$1,332.60	$1,759.03	$2,496.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,235.29 / $3,651.35 / $5,574.16	Professional		$1,235.29	$3,651.35	$5,574.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,494.62 / $3,494.62 / $3,494.62	Professional		$3,494.62	$3,494.62	$3,494.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,893.32 / $4,512.37 / $7,257.45	Professional		$2,893.32	$4,512.37	$7,257.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.02 / $1,407.96 / $3,200.41	Professional		$740.02	$1,407.96	$3,200.41