Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.39 / $1,933.00 / $14,482.00	Facility		$1,192.39	$1,933.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.04 / $1,192.39 / $3,976.58	Professional		$788.04	$1,192.39	$3,976.58
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 $945.44 / $2,313.69 / $6,033.74	Professional		$945.44	$2,313.69	$6,033.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.58 / $2,805.27 / $4,524.80	Facility		$2,400.58	$2,805.27	$4,524.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,632.30 / $2,912.98 / $4,339.39	Professional		$1,632.30	$2,912.98	$4,339.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $945.02 / $1,327.12 / $1,847.09	Facility		$945.02	$1,327.12	$1,847.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.46 / $8,791.00 / $16,779.00	Facility		$1,096.46	$8,791.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,171.59 / $3,179.52 / $5,563.77	Professional		$1,171.59	$3,179.52	$5,563.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $971.79 / $2,232.91	Professional		$70.00	$971.79	$2,232.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $945.02 / $1,327.12 / $1,847.09	Facility		$945.02	$1,327.12	$1,847.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,954.55 / $3,018.13 / $3,916.36	Professional		$1,954.55	$3,018.13	$3,916.36
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 $1,672.15 / $4,814.89 / $7,196.00	Professional		$1,672.15	$4,814.89	$7,196.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,909.34 / $4,909.34 / $4,909.34	Professional		$4,909.34	$4,909.34	$4,909.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,958.35 / $6,527.45 / $6,527.45	Professional		$4,958.35	$6,527.45	$6,527.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,132.33 / $3,179.52 / $4,199.10	Professional		$1,132.33	$3,179.52	$4,199.10