Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.43 / $2,063.46 / $14,482.00	Facility		$1,271.43	$2,063.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.39 / $1,271.43 / $3,524.92	Professional		$696.39	$1,271.43	$3,524.92
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 $989.93 / $2,440.87 / $6,074.65	Professional		$989.93	$2,440.87	$6,074.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,580.81 / $3,015.88 / $4,864.50	Facility		$2,580.81	$3,015.88	$4,864.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,742.49 / $3,107.73 / $4,145.00	Professional		$1,742.49	$3,107.73	$4,145.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,008.81 / $1,587.91 / $2,180.81	Facility		$1,008.81	$1,587.91	$2,180.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,158.41 / $2,803.00 / $7,700.00	Facility		$1,158.41	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,198.27 / $2,978.10 / $5,795.20	Professional		$1,198.27	$2,978.10	$5,795.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $724.50 / $2,255.49	Professional		$61.84	$724.50	$2,255.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,008.81 / $1,587.91 / $2,180.81	Facility		$1,008.81	$1,587.91	$2,180.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,063.75 / $3,186.75 / $4,178.18	Professional		$2,063.75	$3,186.75	$4,178.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,436.32 / $19,436.32 / $19,436.32	Facility		$19,436.32	$19,436.32	$19,436.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,783.94 / $4,914.35 / $9,631.00	Professional		$1,783.94	$4,914.35	$9,631.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,169.76 / $5,169.76 / $5,169.76	Professional		$5,169.76	$5,169.76	$5,169.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,651.39 / $6,963.87 / $6,963.87	Professional		$4,651.39	$6,963.87	$6,963.87
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 $1,183.73 / $3,275.84 / $4,842.03	Professional		$1,183.73	$3,275.84	$4,842.03