Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.49 / $1,754.78 / $14,482.00	Facility		$1,029.49	$1,754.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.20 / $1,029.49 / $3,014.20	Professional		$681.20	$1,029.49	$3,014.20
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 $841.60 / $2,360.61 / $5,041.16	Professional		$841.60	$2,360.61	$5,041.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,199.63 / $2,570.44 / $4,146.04	Facility		$2,199.63	$2,570.44	$4,146.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.81 / $2,614.57 / $3,517.62	Professional		$1,481.81	$2,614.57	$3,517.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $816.40 / $1,178.24 / $1,708.22	Facility		$816.40	$1,178.24	$1,708.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $935.88 / $2,429.00 / $7,700.00	Facility		$935.88	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,009.38 / $2,782.49 / $5,961.97	Professional		$1,009.38	$2,782.49	$5,961.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $568.91 / $1,786.90	Professional		$67.18	$568.91	$1,786.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $816.40 / $1,178.24 / $1,708.22	Facility		$816.40	$1,178.24	$1,708.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,749.15 / $2,691.00 / $3,423.11	Professional		$1,749.15	$2,691.00	$3,423.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,393.90 / $13,393.90 / $13,393.90	Facility		$13,393.90	$13,393.90	$13,393.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,516.28 / $4,200.70 / $6,460.08	Professional		$1,516.28	$4,200.70	$6,460.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,080.28 / $2,080.28 / $2,080.28	Professional		$2,080.28	$2,080.28	$2,080.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,990.30 / $5,102.63 / $5,102.63	Professional		$1,990.30	$5,102.63	$5,102.63
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 $1,010.52 / $2,980.38 / $3,755.43	Professional		$1,010.52	$2,980.38	$3,755.43