Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.92 / $1,704.51 / $14,482.00	Facility		$1,047.92	$1,704.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.80 / $1,047.92 / $3,061.29	Professional		$588.80	$1,047.92	$3,061.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.32 / $2,024.61 / $5,061.18	Professional		$825.32	$2,024.61	$5,061.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,120.34 / $2,477.78 / $3,996.57	Facility		$2,120.34	$2,477.78	$3,996.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,439.36 / $2,567.09 / $3,770.83	Professional		$1,439.36	$2,567.09	$3,770.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $833.32 / $1,155.45 / $1,628.75	Facility		$833.32	$1,155.45	$1,628.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $963.88 / $8,791.00 / $16,779.00	Facility		$963.88	$8,791.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,024.67 / $2,785.50 / $4,866.02	Professional		$1,024.67	$2,785.50	$4,866.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $833.24 / $1,922.47	Professional		$70.00	$833.24	$1,922.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $833.32 / $1,155.45 / $1,628.75	Facility		$833.32	$1,155.45	$1,628.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,717.95 / $2,652.78 / $3,451.33	Professional		$1,717.95	$2,652.78	$3,451.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,856.55 / $13,856.55 / $13,856.55	Facility		$13,856.55	$13,856.55	$13,856.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,473.60 / $4,126.39 / $6,327.20	Professional		$1,473.60	$4,126.39	$6,327.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,307.27 / $4,307.27 / $4,307.27	Professional		$4,307.27	$4,307.27	$4,307.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,870.37 / $5,752.42 / $5,752.42	Professional		$3,870.37	$5,752.42	$5,752.42
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.13 / $2,916.89 / $4,223.72	Professional		$999.13	$2,916.89	$4,223.72