Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.24 / $1,871.12 / $14,482.00	Facility		$1,151.24	$1,871.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.47 / $1,151.24 / $3,254.52	Professional		$633.47	$1,151.24	$3,254.52
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 $903.74 / $2,236.59 / $5,557.55	Professional		$903.74	$2,236.59	$5,557.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,341.11 / $2,735.77 / $4,412.70	Facility		$2,341.11	$2,735.77	$4,412.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,580.05 / $2,816.83 / $3,818.04	Professional		$1,580.05	$2,816.83	$3,818.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $914.77 / $1,437.35 / $1,979.43	Facility		$914.77	$1,437.35	$1,979.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.33 / $11,645.00 / $23,474.00	Facility		$1,050.33	$11,645.00	$23,474.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,106.34 / $2,800.17 / $5,326.39	Professional		$1,106.34	$2,800.17	$5,326.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $643.83 / $2,057.63	Professional		$61.84	$643.83	$2,057.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $914.77 / $1,437.35 / $1,979.43	Facility		$914.77	$1,437.35	$1,979.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,871.35 / $2,889.65 / $3,787.08	Professional		$1,871.35	$2,889.65	$3,787.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,613.12 / $17,613.12 / $17,613.12	Facility		$17,613.12	$17,613.12	$17,613.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,616.96 / $4,516.80 / $11,743.32	Professional		$1,616.96	$4,516.80	$11,743.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,729.70 / $4,729.70 / $4,729.70	Professional		$4,729.70	$4,729.70	$4,729.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,842.20 / $6,312.04 / $6,312.04	Professional		$2,842.20	$6,312.04	$6,312.04
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $16,424.00 / $23,474.00	Facility		$9,662.00	$16,424.00	$23,474.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.34 / $3,130.11 / $4,442.71	Professional		$1,106.34	$3,130.11	$4,442.71