Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.54 / $1,697.69 / $14,482.00	Facility		$1,017.54	$1,697.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.30 / $1,017.54 / $2,695.83	Professional		$611.30	$1,017.54	$2,695.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.91 / $2,166.96 / $4,919.18	Professional		$759.91	$2,166.96	$4,919.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,197.83 / $2,568.34 / $4,142.64	Facility		$2,197.83	$2,568.34	$4,142.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.25 / $2,560.65 / $3,468.94	Professional		$1,124.25	$2,560.65	$3,468.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $829.98 / $1,190.52 / $1,648.50	Facility		$829.98	$1,190.52	$1,648.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.44 / $5,266.00 / $15,126.00	Facility		$905.44	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $908.47 / $2,317.71 / $5,468.20	Professional		$908.47	$2,317.71	$5,468.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $510.71 / $1,631.04	Professional		$62.75	$510.71	$1,631.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $905.44 / $1,218.74 / $1,648.50	Facility		$905.44	$1,218.74	$1,648.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,615.25 / $2,485.00 / $2,994.57	Professional		$1,615.25	$2,485.00	$2,994.57
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 $1,164.55 / $3,852.80 / $6,177.60	Professional		$1,164.55	$3,852.80	$6,177.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.89 / $2,047.89 / $2,047.89	Professional		$2,047.89	$2,047.89	$2,047.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,926.05 / $4,997.33 / $4,997.33	Professional		$1,926.05	$4,997.33	$4,997.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $908.47 / $2,317.71 / $3,444.40	Professional		$908.47	$2,317.71	$3,444.40