Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.04 / $1,953.54 / $14,482.00	Facility		$1,200.04	$1,953.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.65 / $1,200.04 / $3,344.68	Professional		$660.65	$1,200.04	$3,344.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.84 / $2,327.80 / $5,793.01	Professional		$939.84	$2,327.80	$5,793.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,447.44 / $2,860.03 / $4,613.13	Facility		$2,447.44	$2,860.03	$4,613.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,649.65 / $2,940.92 / $3,930.63	Professional		$1,649.65	$2,940.92	$3,930.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $955.06 / $1,496.32 / $1,995.00	Facility		$955.06	$1,496.32	$1,995.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,094.58 / $2,553.00 / $7,700.00	Facility		$1,094.58	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.10 / $2,840.47 / $5,527.39	Professional		$1,127.10	$2,840.47	$5,527.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $657.00 / $2,126.87	Professional		$61.84	$657.00	$2,126.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $955.06 / $1,496.32 / $1,995.00	Facility		$955.06	$1,496.32	$1,995.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $3,011.10 / $3,953.91	Professional		$1,950.00	$3,011.10	$3,953.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,367.04 / $18,367.04 / $18,367.04	Facility		$18,367.04	$18,367.04	$18,367.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,688.19 / $4,687.25 / $11,892.55	Professional		$1,688.19	$4,687.25	$11,892.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,930.12 / $4,930.12 / $4,930.12	Professional		$4,930.12	$4,930.12	$4,930.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,373.17 / $6,590.11 / $6,590.11	Professional		$4,373.17	$6,590.11	$6,590.11
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 $1,118.81 / $2,858.79 / $4,702.88	Professional		$1,118.81	$2,858.79	$4,702.88