Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.83 / $1,852.18 / $14,482.00	Facility		$1,084.83	$1,852.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.47 / $1,084.83 / $3,151.90	Professional		$718.47	$1,084.83	$3,151.90
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 $880.12 / $2,466.77 / $5,300.43	Professional		$880.12	$2,466.77	$5,300.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,294.25 / $2,681.01 / $4,324.38	Facility		$2,294.25	$2,681.01	$4,324.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,564.06 / $2,727.96 / $3,713.75	Professional		$1,564.06	$2,727.96	$3,713.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $905.51 / $1,269.25 / $1,769.86	Facility		$905.51	$1,269.25	$1,769.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,033.90 / $1,923.40 / $7,700.00	Facility		$1,033.90	$1,923.40	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,060.99 / $2,910.17 / $6,268.60	Professional		$1,060.99	$2,910.17	$6,268.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $601.07 / $1,947.71	Professional		$85.00	$601.07	$1,947.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $905.51 / $1,269.25 / $1,769.86	Facility		$905.51	$1,269.25	$1,769.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,840.80 / $2,832.00 / $3,580.20	Professional		$1,840.80	$2,832.00	$3,580.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,977.47 / $13,977.47 / $13,977.47	Facility		$13,977.47	$13,977.47	$13,977.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,582.04 / $4,416.75 / $6,742.24	Professional		$1,582.04	$4,416.75	$6,742.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,181.23 / $2,181.23 / $2,181.23	Professional		$2,181.23	$2,181.23	$2,181.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,100.78 / $5,323.89 / $5,323.89	Professional		$2,100.78	$5,323.89	$5,323.89
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 $1,059.58 / $2,910.17 / $3,948.57	Professional		$1,059.58	$2,910.17	$3,948.57