Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.50 / $1,928.00 / $14,482.00	Facility		$1,190.50	$1,928.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.94 / $1,190.50 / $3,638.90	Professional		$720.94	$1,190.50	$3,638.90
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 $1,012.39 / $2,310.32 / $5,761.85	Professional		$1,012.39	$2,310.32	$5,761.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,392.46 / $2,795.79 / $4,509.52	Facility		$2,392.46	$2,795.79	$4,509.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $2,906.85 / $4,249.09	Professional		$1,628.10	$2,906.85	$4,249.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $942.58 / $1,499.03 / $2,310.00	Facility		$942.58	$1,499.03	$2,310.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,094.64 / $2,553.00 / $7,700.00	Facility		$1,094.64	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,172.05 / $3,146.99 / $5,705.11	Professional		$1,172.05	$3,146.99	$5,705.11
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 $942.58 / $1,499.03 / $2,310.00	Facility		$942.58	$1,499.03	$2,310.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,951.30 / $3,013.11 / $3,908.12	Professional		$1,951.30	$3,013.11	$3,908.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,309.32 / $10,309.32 / $10,309.32	Facility		$10,309.32	$10,309.32	$10,309.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,668.64 / $4,750.96 / $10,574.00	Professional		$1,668.64	$4,750.96	$10,574.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,903.59 / $4,903.59 / $4,903.59	Professional		$4,903.59	$4,903.59	$4,903.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,536.76 / $6,513.81 / $6,513.81	Professional		$4,536.76	$6,513.81	$6,513.81
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 $1,145.59 / $3,074.53 / $4,831.21	Professional		$1,145.59	$3,074.53	$4,831.21