Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.02 / $3,896.48 / $14,482.00	Facility		$1,601.02	$3,896.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.64 / $1,601.02 / $4,923.60	Professional		$1,022.64	$1,601.02	$4,923.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.78 / $2,067.14 / $4,855.22	Professional		$960.78	$2,067.14	$4,855.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,828.62 / $3,305.46 / $5,331.59	Facility		$2,828.62	$3,305.46	$5,331.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.76 / $2,574.83 / $3,845.16	Professional		$1,213.76	$2,574.83	$3,845.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $971.69 / $1,345.09 / $1,921.22	Facility		$971.69	$1,345.09	$1,921.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,022.64 / $4,240.00 / $11,598.00	Facility		$1,022.64	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $971.69 / $2,049.01 / $7,917.52	Professional		$971.69	$2,049.01	$7,917.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $587.17 / $1,765.12	Professional		$91.28	$587.17	$1,765.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $971.69 / $1,345.09 / $2,170.67	Facility		$971.69	$1,345.09	$2,170.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,888.20 / $2,492.42 / $3,537.86	Professional		$1,888.20	$2,492.42	$3,537.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,759.22 / $4,923.60 / $7,917.52	Professional		$1,759.22	$4,923.60	$7,917.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,019.97 / $5,019.97 / $5,019.97	Professional		$5,019.97	$5,019.97	$5,019.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,747.28 / $6,481.95 / $10,335.56	Professional		$3,747.28	$6,481.95	$10,335.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,017.94 / $1,907.66 / $4,315.54	Professional		$1,017.94	$1,907.66	$4,315.54