Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.02 / $3,879.43 / $14,482.00	Facility		$1,594.02	$3,879.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.83 / $1,594.02 / $4,900.60	Professional		$990.83	$1,594.02	$4,900.60
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 $956.18 / $2,058.10 / $4,834.01	Professional		$956.18	$2,058.10	$4,834.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,816.00 / $3,290.72 / $5,307.81	Facility		$2,816.00	$3,290.72	$5,307.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.70 / $2,564.10 / $3,828.44	Professional		$1,208.70	$2,564.10	$3,828.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $967.44 / $1,338.65 / $1,912.82	Facility		$967.44	$1,338.65	$1,912.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,017.95 / $4,240.00 / $11,598.00	Facility		$1,017.95	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $967.44 / $2,039.43 / $7,882.64	Professional		$967.44	$2,039.43	$7,882.64
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 $967.44 / $1,338.65 / $2,161.33	Facility		$967.44	$1,338.65	$2,161.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,879.80 / $2,481.34 / $3,522.12	Professional		$1,879.80	$2,481.34	$3,522.12
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 $1,751.58 / $4,900.60 / $7,882.64	Professional		$1,751.58	$4,900.60	$7,882.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,997.79 / $4,997.79 / $4,997.79	Professional		$4,997.79	$4,997.79	$4,997.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,714.55 / $6,453.31 / $10,290.73	Professional		$3,714.55	$6,453.31	$10,290.73
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.33 / $1,891.00 / $4,371.34	Professional		$1,101.33	$1,891.00	$4,371.34