Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.55 / $1,849.79 / $14,482.00	Facility		$1,148.55	$1,849.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.52 / $1,148.55 / $3,269.17	Professional		$636.52	$1,148.55	$3,269.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $919.77 / $2,244.65 / $5,569.23	Professional		$919.77	$2,244.65	$5,569.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,299.66 / $2,687.33 / $4,334.57	Facility		$2,299.66	$2,687.33	$4,334.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,644.25 / $2,788.06 / $3,688.92	Professional		$1,644.25	$2,788.06	$3,688.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $904.34 / $1,287.68 / $1,782.78	Facility		$904.34	$1,287.68	$1,782.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,042.54 / $2,803.00 / $7,868.00	Facility		$1,042.54	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,105.30 / $3,187.03 / $5,147.35	Professional		$1,105.30	$3,187.03	$5,147.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,281.92 / $2,247.59	Professional		$85.00	$1,281.92	$2,247.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $904.34 / $1,287.68 / $1,782.78	Facility		$904.34	$1,287.68	$1,782.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,855.75 / $2,865.56 / $3,748.41	Professional		$1,855.75	$2,865.56	$3,748.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,934.94 / $22,934.94 / $22,934.94	Facility		$22,934.94	$22,934.94	$22,934.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,600.45 / $4,565.95 / $6,871.52	Professional		$1,600.45	$4,565.95	$6,871.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,739.63 / $4,739.63 / $4,739.63	Professional		$4,739.63	$4,739.63	$4,739.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,247.57 / $6,247.57 / $6,247.57	Professional		$6,247.57	$6,247.57	$6,247.57
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 $1,095.83 / $3,193.04 / $4,502.18	Professional		$1,095.83	$3,193.04	$4,502.18