Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.34 / $2,039.60 / $14,482.00	Facility		$1,259.34	$2,039.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.85 / $1,259.34 / $3,647.27	Professional		$706.85	$1,259.34	$3,647.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $9,649.00	Facility		$1,314.00	$3,163.00	$9,649.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.62 / $2,441.26 / $6,093.09	Professional		$998.62	$2,441.26	$6,093.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,533.94 / $2,961.12 / $4,776.18	Facility		$2,533.94	$2,961.12	$4,776.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,722.33 / $3,076.15 / $4,063.00	Professional		$1,722.33	$3,076.15	$4,063.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $997.14 / $1,259.34 / $1,948.95	Facility		$997.14	$1,259.34	$1,948.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $2,247.00 / $4,793.00	Facility		$1,050.00	$2,247.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $3,019.97 / $5,876.68	Professional		$1,122.00	$3,019.97	$5,876.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $1,012.86 / $2,310.45	Professional		$70.00	$1,012.86	$2,310.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $997.14 / $1,259.34 / $1,948.95	Facility		$997.14	$1,259.34	$1,948.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,062.44 / $3,184.74 / $4,135.74	Professional		$2,062.44	$3,184.74	$4,135.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,327.38 / $13,327.38 / $13,327.38	Facility		$13,327.38	$13,327.38	$13,327.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,765.83 / $4,983.45 / $7,600.96	Professional		$1,765.83	$4,983.45	$7,600.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,185.49 / $5,185.49 / $5,185.49	Professional		$5,185.49	$5,185.49	$5,185.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,631.26 / $6,893.14 / $6,893.14	Professional		$4,631.26	$6,893.14	$6,893.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.22 / $3,298.17 / $4,912.05	Professional		$1,110.22	$3,298.17	$4,912.05