Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.67 / $2,244.52 / $14,482.00	Facility		$1,163.67	$2,244.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.38 / $750.34 / $2,244.52	Professional		$597.38	$750.34	$2,244.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.66 / $1,181.13 / $4,257.84	Professional		$624.66	$1,181.13	$4,257.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,571.55 / $1,836.48 / $2,962.18	Facility		$1,571.55	$1,836.48	$2,962.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.61 / $1,732.76 / $2,506.86	Professional		$1,096.61	$1,732.76	$2,506.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $615.70 / $852.69 / $1,217.48	Facility		$615.70	$852.69	$1,217.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.70 / $13,552.40 / $26,268.00	Facility		$615.70	$13,552.40	$26,268.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.35 / $1,424.24 / $3,639.66	Professional		$749.35	$1,424.24	$3,639.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $898.95 / $1,354.93	Professional		$85.00	$898.95	$1,354.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $615.70 / $852.69 / $1,217.48	Facility		$615.70	$852.69	$1,217.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,467.11 / $1,831.07 / $2,306.91	Professional		$1,467.11	$1,831.07	$2,306.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,165.96 / $8,165.96 / $8,165.96	Facility		$8,165.96	$8,165.96	$8,165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $930.06 / $2,583.50 / $4,016.73	Professional		$930.06	$2,583.50	$4,016.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,223.54 / $3,223.54 / $3,223.54	Professional		$3,223.54	$3,223.54	$3,223.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,859.66 / $4,258.14 / $4,258.14	Professional		$2,859.66	$4,258.14	$4,258.14
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $16,424.00 / $23,474.00	Facility		$9,662.00	$16,424.00	$23,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.35 / $1,584.37 / $3,260.28	Professional		$749.35	$1,584.37	$3,260.28