Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,900.26 / $14,482.00	Facility		$1,170.39	$1,900.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.92 / $1,170.39 / $3,047.98	Professional		$686.92	$1,170.39	$3,047.98
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 $920.42 / $2,148.17 / $5,655.29	Professional		$920.42	$2,148.17	$5,655.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,375.35 / $2,775.79 / $4,477.25	Facility		$2,375.35	$2,775.79	$4,477.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.66 / $2,862.00 / $3,812.66	Professional		$1,604.66	$2,862.00	$3,812.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $929.02 / $1,462.51 / $2,020.64	Facility		$929.02	$1,462.51	$2,020.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,068.14 / $2,553.00 / $7,700.00	Facility		$1,068.14	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.61 / $2,825.63 / $5,427.22	Professional		$1,108.61	$2,825.63	$5,427.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $692.55 / $2,086.43	Professional		$61.84	$692.55	$2,086.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $929.02 / $1,462.51 / $2,020.64	Facility		$929.02	$1,462.51	$2,020.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,903.20 / $2,938.83 / $3,847.83	Professional		$1,903.20	$2,938.83	$3,847.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,912.48 / $17,912.48 / $17,912.48	Facility		$17,912.48	$17,912.48	$17,912.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,642.89 / $4,602.30 / $9,886.00	Professional		$1,642.89	$4,602.30	$9,886.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,812.87 / $4,812.87 / $4,812.87	Professional		$4,812.87	$4,812.87	$4,812.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,314.85 / $6,413.30 / $6,413.30	Professional		$4,314.85	$6,413.30	$6,413.30
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 $1,108.61 / $3,015.52 / $4,618.64	Professional		$1,108.61	$3,015.52	$4,618.64