Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.06 / $1,970.89 / $14,482.00	Facility		$1,213.06	$1,970.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.08 / $1,213.06 / $3,555.03	Professional		$664.08	$1,213.06	$3,555.03
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 $956.69 / $2,172.64 / $5,689.71	Professional		$956.69	$2,172.64	$5,689.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,464.56 / $2,880.04 / $4,645.39	Facility		$2,464.56	$2,880.04	$4,645.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,664.30 / $2,967.86 / $4,081.62	Professional		$1,664.30	$2,967.86	$4,081.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $963.55 / $1,515.02 / $2,100.00	Facility		$963.55	$1,515.02	$2,100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,106.85 / $10,595.00 / $19,754.00	Facility		$1,106.85	$10,595.00	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,166.56 / $2,916.93 / $5,613.71	Professional		$1,166.56	$2,916.93	$5,613.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $693.98 / $2,148.46	Professional		$61.84	$693.98	$2,148.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $963.55 / $1,515.02 / $2,100.00	Facility		$963.55	$1,515.02	$2,100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,972.10 / $3,045.23 / $3,990.14	Professional		$1,972.10	$3,045.23	$3,990.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,563.20 / $18,563.20 / $18,563.20	Facility		$18,563.20	$18,563.20	$18,563.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,703.66 / $4,760.45 / $10,227.00	Professional		$1,703.66	$4,760.45	$10,227.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,986.97 / $4,986.97 / $4,986.97	Professional		$4,986.97	$4,986.97	$4,986.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,842.20 / $6,650.51 / $6,650.51	Professional		$2,842.20	$6,650.51	$6,650.51
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,146.18 / $2,916.93 / $4,684.72	Professional		$1,146.18	$2,916.93	$4,684.72