Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.89 / $1,939.05 / $14,482.00	Facility		$1,196.89	$1,939.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $1,196.89 / $3,497.88	Professional		$672.00	$1,196.89	$3,497.88
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 $945.65 / $2,320.73 / $5,791.86	Professional		$945.65	$2,320.73	$5,791.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,407.79 / $2,813.70 / $4,538.39	Facility		$2,407.79	$2,813.70	$4,538.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,637.42 / $2,923.21 / $4,304.43	Professional		$1,637.42	$2,923.21	$4,304.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $947.98 / $1,506.22 / $2,111.42	Facility		$947.98	$1,506.22	$2,111.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,100.11 / $2,782.50 / $7,700.00	Facility		$1,100.11	$2,782.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,176.34 / $3,147.87 / $5,586.35	Professional		$1,176.34	$3,147.87	$5,586.35
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 $947.98 / $1,506.22 / $2,111.42	Facility		$947.98	$1,506.22	$2,111.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,961.05 / $3,028.16 / $3,930.11	Professional		$1,961.05	$3,028.16	$3,930.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,663.20 / $12,663.20 / $12,663.20	Facility		$12,663.20	$12,663.20	$12,663.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,678.03 / $4,737.25 / $10,151.00	Professional		$1,678.03	$4,737.25	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,929.14 / $4,929.14 / $4,929.14	Professional		$4,929.14	$4,929.14	$4,929.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,765.92 / $6,550.45 / $6,550.45	Professional		$3,765.92	$6,550.45	$6,550.45
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 $1,149.33 / $3,147.87 / $4,848.97	Professional		$1,149.33	$3,147.87	$4,848.97