Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.17 / $1,924.47 / $14,482.00	Facility		$1,137.17	$1,924.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.29 / $1,137.17 / $3,116.28	Professional		$716.29	$1,137.17	$3,116.28
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 $851.97 / $2,438.17 / $5,475.82	Professional		$851.97	$2,438.17	$5,475.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,484.39 / $2,903.20 / $4,682.76	Facility		$2,484.39	$2,903.20	$4,682.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.42 / $2,870.54 / $3,967.16	Professional		$1,274.42	$2,870.54	$3,967.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $940.85 / $1,330.49 / $2,009.60	Facility		$940.85	$1,330.49	$2,009.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,026.38 / $5,266.00 / $15,126.00	Facility		$1,026.38	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $989.27 / $2,746.86 / $5,994.68	Professional		$989.27	$2,746.86	$5,994.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $567.12 / $1,822.47	Professional		$85.00	$567.12	$1,822.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $940.85 / $1,330.49 / $2,009.60	Facility		$940.85	$1,330.49	$2,009.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,821.95 / $2,803.00 / $3,420.97	Professional		$1,821.95	$2,803.00	$3,420.97
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 $1,305.49 / $4,223.75 / $7,299.54	Professional		$1,305.49	$4,223.75	$7,299.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,279.61 / $2,279.61 / $2,279.61	Professional		$2,279.61	$2,279.61	$2,279.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,113.17 / $5,602.16 / $5,602.16	Professional		$2,113.17	$5,602.16	$5,602.16
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 $912.21 / $2,587.35 / $4,212.85	Professional		$912.21	$2,587.35	$4,212.85