Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.53 / $1,787.92 / $14,482.00	Facility		$1,050.53	$1,787.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.88 / $1,050.53 / $3,065.66	Professional		$680.88	$1,050.53	$3,065.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.62 / $2,402.02 / $5,113.35	Professional		$854.62	$2,402.02	$5,113.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,240.17 / $2,617.83 / $4,222.47	Facility		$2,240.17	$2,617.83	$4,222.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.80 / $2,662.51 / $3,582.04	Professional		$1,509.80	$2,662.51	$3,582.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $874.09 / $1,229.11 / $1,884.00	Facility		$874.09	$1,229.11	$1,884.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.85 / $2,553.00 / $7,868.00	Facility		$1,000.85	$2,553.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,024.01 / $2,823.68 / $6,047.41	Professional		$1,024.01	$2,823.68	$6,047.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $568.91 / $1,786.90	Professional		$85.26	$568.91	$1,786.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $953.56 / $1,295.58 / $1,884.00	Facility		$953.56	$1,295.58	$1,884.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,782.95 / $2,743.00 / $3,473.79	Professional		$1,782.95	$2,743.00	$3,473.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,786.56 / $16,786.56 / $16,786.56	Facility		$16,786.56	$16,786.56	$16,786.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,544.07 / $4,260.89 / $6,891.71	Professional		$1,544.07	$4,260.89	$6,891.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,125.14 / $2,125.14 / $2,125.14	Professional		$2,125.14	$2,125.14	$2,125.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.90 / $5,196.10 / $5,196.10	Professional		$2,027.90	$5,196.10	$5,196.10
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 $1,023.76 / $2,504.37 / $3,809.24	Professional		$1,023.76	$2,504.37	$3,809.24