Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.45 / $1,869.34 / $14,482.00	Facility		$1,153.45	$1,869.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.29 / $1,153.45 / $3,369.81	Professional		$647.29	$1,153.45	$3,369.81
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 $914.03 / $2,235.52 / $5,581.00	Professional		$914.03	$2,235.52	$5,581.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,321.29 / $2,712.61 / $4,375.34	Facility		$2,321.29	$2,712.61	$4,375.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,578.56 / $2,817.68 / $4,222.49	Professional		$1,578.56	$2,817.68	$4,222.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $913.90 / $1,451.23 / $2,052.63	Facility		$913.90	$1,451.23	$2,052.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,060.38 / $2,782.50 / $7,700.00	Facility		$1,060.38	$2,782.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,133.56 / $3,067.35 / $5,383.11	Professional		$1,133.56	$3,067.35	$5,383.11
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 $913.90 / $1,451.23 / $2,052.63	Facility		$913.90	$1,451.23	$2,052.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,890.20 / $2,918.76 / $3,788.24	Professional		$1,890.20	$2,918.76	$3,788.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,204.72 / $12,204.72 / $12,204.72	Facility		$12,204.72	$12,204.72	$12,204.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,617.46 / $4,564.89 / $10,151.00	Professional		$1,617.46	$4,564.89	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,749.67 / $4,749.67 / $4,749.67	Professional		$4,749.67	$4,749.67	$4,749.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,765.92 / $6,314.00 / $6,314.00	Professional		$3,765.92	$6,314.00	$6,314.00
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 $1,107.34 / $3,067.35 / $4,672.56	Professional		$1,107.34	$3,067.35	$4,672.56