Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.58 / $1,292.58 / $14,482.00	Facility		$1,292.58	$1,292.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.41 / $914.04 / $1,521.47	Professional		$733.41	$914.04	$1,521.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $793.22 / $1,668.91 / $3,863.29	Professional		$793.22	$1,668.91	$3,863.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,356.42 / $2,753.67 / $4,441.58	Facility		$2,356.42	$2,753.67	$4,441.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,137.08 / $2,183.78 / $3,186.76	Professional		$1,137.08	$2,183.78	$3,186.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $833.14 / $1,131.47 / $1,956.78	Facility		$833.14	$1,131.47	$1,956.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $999.77 / $8,225.90 / $15,702.00	Facility		$999.77	$8,225.90	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $878.46 / $1,672.61 / $6,060.60	Professional		$878.46	$1,672.61	$6,060.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $675.74 / $938.54	Professional		$65.00	$675.74	$938.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $833.14 / $1,131.47 / $1,956.78	Facility		$833.14	$1,131.47	$1,956.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,149.72 / $2,110.04 / $3,007.24	Professional		$1,149.72	$2,110.04	$3,007.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,610.61 / $3,943.40 / $6,519.60	Professional		$1,610.61	$3,943.40	$6,519.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,107.14 / $4,107.14 / $4,107.14	Professional		$4,107.14	$4,107.14	$4,107.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,303.27 / $8,707.98 / $8,707.98	Professional		$5,303.27	$8,707.98	$8,707.98
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.40 / $1,745.27 / $3,585.08	Professional		$866.40	$1,745.27	$3,585.08