Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.88 / $1,734.64 / $14,482.00	Facility		$1,066.88	$1,734.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.92 / $1,066.88 / $3,022.46	Professional		$587.92	$1,066.88	$3,022.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.83 / $2,061.50 / $5,137.66	Professional		$836.83	$2,061.50	$5,137.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,534.64 / $4,088.29	Facility		$2,169.00	$2,534.64	$4,088.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.81 / $2,605.32 / $3,491.82	Professional		$1,464.81	$2,605.32	$3,491.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $848.05 / $1,175.93 / $1,837.29	Facility		$848.05	$1,175.93	$1,837.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $967.22 / $2,553.00 / $7,700.00	Facility		$967.22	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $2,519.40 / $4,901.97	Professional		$1,027.46	$2,519.40	$4,901.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $752.50 / $1,898.91	Professional		$62.75	$752.50	$1,898.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $848.05 / $1,175.93 / $1,837.29	Facility		$848.05	$1,175.93	$1,837.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,721.20 / $2,657.80 / $3,502.73	Professional		$1,721.20	$2,657.80	$3,502.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,209.76 / $16,209.76 / $16,209.76	Facility		$16,209.76	$16,209.76	$16,209.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,495.55 / $4,156.89 / $6,367.04	Professional		$1,495.55	$4,156.89	$6,367.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,372.38 / $4,372.38 / $4,372.38	Professional		$4,372.38	$4,372.38	$4,372.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,925.09 / $5,838.15 / $5,838.15	Professional		$3,925.09	$5,838.15	$5,838.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.32 / $2,748.81 / $4,254.93	Professional		$999.32	$2,748.81	$4,254.93