Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.84 / $1,876.57 / $14,482.00	Facility		$1,155.84	$1,876.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.34 / $1,155.84 / $3,375.63	Professional		$770.34	$1,155.84	$3,375.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.41 / $2,235.00 / $5,834.40	Professional		$914.41	$2,235.00	$5,834.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,331.19 / $2,724.19 / $4,394.02	Facility		$2,331.19	$2,724.19	$4,394.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.66 / $2,826.15 / $4,094.41	Professional		$1,584.66	$2,826.15	$4,094.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $917.43 / $1,452.65 / $2,590.50	Facility		$917.43	$1,452.65	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,062.66 / $2,803.00 / $7,700.00	Facility		$1,062.66	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,132.33 / $3,030.33 / $5,377.28	Professional		$1,132.33	$3,030.33	$5,377.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $947.72 / $2,181.53	Professional		$70.00	$947.72	$2,181.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $917.43 / $1,452.65 / $2,590.50	Facility		$917.43	$1,452.65	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,894.10 / $2,924.78 / $3,799.63	Professional		$1,894.10	$2,924.78	$3,799.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,225.07 / $12,225.07 / $12,225.07	Facility		$12,225.07	$12,225.07	$12,225.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,622.31 / $4,584.67 / $10,574.00	Professional		$1,622.31	$4,584.67	$10,574.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,753.89 / $4,753.89 / $4,753.89	Professional		$4,753.89	$4,753.89	$4,753.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.58 / $6,332.92 / $6,332.92	Professional		$4,570.58	$6,332.92	$6,332.92
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 $1,105.11 / $2,978.02 / $4,498.89	Professional		$1,105.11	$2,978.02	$4,498.89