Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.44 / $1,924.65 / $14,482.00	Facility		$1,129.44	$1,924.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,129.44 / $3,312.55	Professional		$748.49	$1,129.44	$3,312.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $13,096.00 / $21,224.00	Facility		$8,712.00	$13,096.00	$21,224.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.20 / $2,591.44 / $5,543.45	Professional		$926.20	$2,591.44	$5,543.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,410.50 / $2,816.86 / $4,543.49	Facility		$2,410.50	$2,816.86	$4,543.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,625.26 / $2,867.01 / $3,854.06	Professional		$1,625.26	$2,867.01	$3,854.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $940.94 / $1,321.44 / $1,839.11	Facility		$940.94	$1,321.44	$1,839.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,078.48 / $2,034.14 / $7,700.00	Facility		$1,078.48	$2,034.14	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,110.61 / $3,060.55 / $6,556.08	Professional		$1,110.61	$3,060.55	$6,556.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $631.82 / $1,992.18	Professional		$85.26	$631.82	$1,992.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,026.48 / $1,394.16 / $1,839.11	Facility		$1,026.48	$1,394.16	$1,839.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,921.40 / $2,956.00 / $3,765.21	Professional		$1,921.40	$2,956.00	$3,765.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,085.75 / $18,085.75 / $18,085.75	Facility		$18,085.75	$18,085.75	$18,085.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,662.67 / $4,619.30 / $7,254.95	Professional		$1,662.67	$4,619.30	$7,254.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,284.17 / $2,284.17 / $2,284.17	Professional		$2,284.17	$2,284.17	$2,284.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,182.98 / $5,595.27 / $5,595.27	Professional		$2,182.98	$5,595.27	$5,595.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.61 / $3,252.42 / $4,702.12	Professional		$1,110.61	$3,252.42	$4,702.12