Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.60 / $1,928.74 / $14,482.00	Facility		$1,188.60	$1,928.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.36 / $1,188.60 / $3,351.63	Professional		$585.36	$1,188.60	$3,351.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.25 / $2,179.11 / $5,730.38	Professional		$930.25	$2,179.11	$5,730.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,412.30 / $2,818.96 / $4,546.88	Facility		$2,412.30	$2,818.96	$4,546.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.72 / $2,899.53 / $3,880.28	Professional		$1,628.72	$2,899.53	$3,880.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $942.94 / $1,480.76 / $2,041.47	Facility		$942.94	$1,480.76	$2,041.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,076.13 / $2,730.00 / $7,700.00	Facility		$1,076.13	$2,730.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,114.28 / $2,807.02 / $5,462.30	Professional		$1,114.28	$2,807.02	$5,462.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $657.00 / $2,126.87	Professional		$61.84	$657.00	$2,126.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $942.94 / $1,480.76 / $2,041.47	Facility		$942.94	$1,480.76	$2,041.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,914.90 / $2,956.90 / $3,898.29	Professional		$1,914.90	$2,956.90	$3,898.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,048.32 / $18,048.32 / $18,048.32	Facility		$18,048.32	$18,048.32	$18,048.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,664.44 / $4,632.05 / $7,090.72	Professional		$1,664.44	$4,632.05	$7,090.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,876.79 / $4,876.79 / $4,876.79	Professional		$4,876.79	$4,876.79	$4,876.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,900.33 / $6,497.37 / $6,497.37	Professional		$3,900.33	$6,497.37	$6,497.37
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 $1,114.28 / $2,807.02 / $4,551.91	Professional		$1,114.28	$2,807.02	$4,551.91