Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,321.89 / $2,196.25 / $14,482.00	Facility		$1,321.89	$2,196.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.68 / $1,321.89 / $3,058.43	Professional		$688.68	$1,321.89	$3,058.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $923.90 / $2,865.23 / $6,410.35	Professional		$923.90	$2,865.23	$6,410.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,875.47 / $3,360.22 / $5,419.91	Facility		$2,875.47	$3,360.22	$5,419.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.40 / $3,316.41 / $4,531.24	Professional		$1,454.40	$3,316.41	$4,531.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $1,321.89 / $2,702.89	Facility		$892.50	$1,321.89	$2,702.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $976.11 / $2,702.89 / $8,783.00	Facility		$976.11	$2,702.89	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,009.46 / $2,834.54 / $7,102.15	Professional		$1,009.46	$2,834.54	$7,102.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $632.34 / $2,148.77	Professional		$85.00	$632.34	$2,148.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $1,321.89 / $2,702.89	Facility		$892.50	$1,321.89	$2,702.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.75 / $3,215.00 / $3,801.09	Professional		$2,089.75	$3,215.00	$3,801.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,508.27 / $5,004.05 / $7,949.36	Professional		$1,508.27	$5,004.05	$7,949.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,668.66 / $2,668.66 / $2,668.66	Professional		$2,668.66	$2,668.66	$2,668.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.57 / $6,472.31 / $6,472.31	Professional		$1,160.57	$6,472.31	$6,472.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.46 / $2,834.54 / $4,473.62	Professional		$1,009.46	$2,834.54	$4,473.62