Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.83 / $1,951.81 / $14,482.00	Facility		$1,145.83	$1,951.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.17 / $1,145.83 / $3,361.83	Professional		$759.17	$1,145.83	$3,361.83
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 $937.83 / $2,630.05 / $5,624.70	Professional		$937.83	$2,630.05	$5,624.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,444.73 / $2,856.87 / $4,608.03	Facility		$2,444.73	$2,856.87	$4,608.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,648.19 / $2,908.42 / $3,907.03	Professional		$1,648.19	$2,908.42	$3,907.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.22 / $1,340.62 / $1,865.16	Facility		$954.22	$1,340.62	$1,865.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,093.51 / $2,052.54 / $7,700.00	Facility		$1,093.51	$2,052.54	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,126.99 / $3,105.37 / $6,652.17	Professional		$1,126.99	$3,105.37	$6,652.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $634.01 / $2,050.86	Professional		$85.26	$634.01	$2,050.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,040.96 / $1,340.62 / $1,865.16	Facility		$1,040.96	$1,340.62	$1,865.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,948.05 / $2,997.00 / $3,820.32	Professional		$1,948.05	$2,997.00	$3,820.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,349.28 / $18,349.28 / $18,349.28	Facility		$18,349.28	$18,349.28	$18,349.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,686.69 / $4,687.00 / $7,192.00	Professional		$1,686.69	$4,687.00	$7,192.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,317.12 / $2,317.12 / $2,317.12	Professional		$2,317.12	$2,317.12	$2,317.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,213.78 / $5,676.06 / $5,676.06	Professional		$2,213.78	$5,676.06	$5,676.06
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 $1,126.99 / $2,857.21 / $4,190.18	Professional		$1,126.99	$2,857.21	$4,190.18