Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,371.33 / $3,294.18 / $14,482.00	Facility		$1,371.33	$3,294.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.03 / $1,371.33 / $4,090.00	Professional		$850.03	$1,371.33	$4,090.00
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 $779.53 / $1,770.57 / $4,211.64	Professional		$779.53	$1,770.57	$4,211.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,422.21 / $2,830.54 / $4,565.57	Facility		$2,422.21	$2,830.54	$4,565.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.81 / $2,184.60 / $4,417.55	Professional		$1,029.81	$2,184.60	$4,417.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $821.49 / $1,099.08 / $1,841.41	Facility		$821.49	$1,099.08	$1,841.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.83 / $4,103.00 / $8,384.00	Facility		$870.83	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $821.49 / $1,675.08 / $6,736.72	Professional		$821.49	$1,675.08	$6,736.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $503.94 / $1,504.31	Professional		$91.28	$503.94	$1,504.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $821.49 / $1,099.08 / $1,999.99	Facility		$821.49	$1,099.08	$1,999.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,595.40 / $2,105.92 / $3,143.74	Professional		$1,595.40	$2,105.92	$3,143.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,363.12 / $6,363.12 / $6,363.12	Facility		$6,363.12	$6,363.12	$6,363.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,500.81 / $4,090.00 / $6,736.72	Professional		$1,500.81	$4,090.00	$6,736.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,323.10 / $4,323.10 / $4,323.10	Professional		$4,323.10	$4,323.10	$4,323.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.31 / $5,582.14 / $8,817.41	Professional		$2,991.31	$5,582.14	$8,817.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.09 / $1,616.58 / $3,584.89	Professional		$860.09	$1,616.58	$3,584.89