Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.25 / $1,886.81 / $14,482.00	Facility		$1,164.25	$1,886.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.87 / $1,164.25 / $3,911.77	Professional		$768.87	$1,164.25	$3,911.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.78 / $2,255.67 / $5,888.32	Professional		$920.78	$2,255.67	$5,888.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.71 / $2,739.98 / $4,419.50	Facility		$2,344.71	$2,739.98	$4,419.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,593.29 / $2,844.09 / $4,078.60	Professional		$1,593.29	$2,844.09	$4,078.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $922.44 / $1,464.08 / $2,069.76	Facility		$922.44	$1,464.08	$2,069.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,069.53 / $2,747.50 / $7,700.00	Facility		$1,069.53	$2,747.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,142.08 / $3,028.79 / $5,423.62	Professional		$1,142.08	$3,028.79	$5,423.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $918.47 / $2,139.42	Professional		$70.00	$918.47	$2,139.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $922.44 / $1,464.08 / $2,069.76	Facility		$922.44	$1,464.08	$2,069.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,906.45 / $2,943.85 / $3,823.75	Professional		$1,906.45	$2,943.85	$3,823.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,312.96 / $12,312.96 / $12,312.96	Facility		$12,312.96	$12,312.96	$12,312.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,632.61 / $4,649.35 / $8,338.08	Professional		$1,632.61	$4,649.35	$8,338.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,793.99 / $4,793.99 / $4,793.99	Professional		$4,793.99	$4,793.99	$4,793.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,667.49 / $6,373.19 / $6,373.19	Professional		$4,667.49	$6,373.19	$6,373.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,115.24 / $3,028.79 / $4,093.33	Professional		$1,115.24	$3,028.79	$4,093.33