Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.33 / $1,709.51 / $14,482.00	Facility		$1,012.33	$1,709.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.52 / $1,012.33 / $2,865.58	Professional		$648.52	$1,012.33	$2,865.58
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 $794.92 / $2,244.17 / $4,867.10	Professional		$794.92	$2,244.17	$4,867.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,182.51 / $2,550.44 / $4,113.77	Facility		$2,182.51	$2,550.44	$4,113.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.08 / $2,558.17 / $3,473.23	Professional		$1,132.08	$2,558.17	$3,473.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $835.76 / $1,184.43 / $1,648.50	Facility		$835.76	$1,184.43	$1,648.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $921.85 / $5,266.00 / $15,126.00	Facility		$921.85	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $936.08 / $2,514.73 / $5,607.93	Professional		$936.08	$2,514.73	$5,607.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $511.09 / $1,644.39	Professional		$70.00	$511.09	$1,644.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $911.74 / $1,227.08 / $1,648.50	Facility		$911.74	$1,227.08	$1,648.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,632.15 / $2,511.00 / $3,202.18	Professional		$1,632.15	$2,511.00	$3,202.18
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 $1,163.44 / $3,951.25 / $6,203.36	Professional		$1,163.44	$3,951.25	$6,203.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,026.20 / $2,026.20 / $2,026.20	Professional		$2,026.20	$2,026.20	$2,026.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.96 / $4,992.59 / $4,992.59	Professional		$1,938.96	$4,992.59	$4,992.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $15,126.00	Facility		$7,217.00	$11,733.00	$15,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.27 / $2,414.09 / $3,532.42	Professional		$889.27	$2,414.09	$3,532.42