Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.25 / $1,955.72 / $14,482.00	Facility		$1,051.25	$1,955.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.53 / $1,051.25 / $1,955.72	Professional		$916.53	$1,051.25	$1,955.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.09 / $2,156.42 / $5,557.35	Professional		$941.09	$2,156.42	$5,557.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,451.05 / $2,864.24 / $4,393.82	Facility		$2,451.05	$2,864.24	$4,393.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.40 / $3,266.96 / $3,915.11	Professional		$1,263.40	$3,266.96	$3,915.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $956.13 / $1,317.53 / $2,310.00	Facility		$956.13	$1,317.53	$2,310.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.13 / $1,480.75 / $4,821.00	Facility		$956.13	$1,480.75	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,050.21 / $2,350.16 / $7,212.00	Professional		$1,050.21	$2,350.16	$7,212.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $871.31 / $2,156.69	Professional		$94.16	$871.31	$2,156.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $956.13 / $1,317.53 / $2,310.00	Facility		$956.13	$1,317.53	$2,310.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,802.40 / $2,403.80 / $3,960.72	Professional		$1,802.40	$2,403.80	$3,960.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,138.06 / $18,398.24 / $18,398.24	Facility		$1,138.06	$18,398.24	$18,398.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,679.12 / $4,700.20 / $7,212.00	Professional		$1,679.12	$4,700.20	$7,212.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,504.17 / $3,504.17 / $3,504.17	Professional		$3,504.17	$3,504.17	$3,504.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,313.57 / $4,780.34 / $4,780.34	Professional		$3,313.57	$4,780.34	$4,780.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,039.71 / $2,025.64 / $4,241.93	Professional		$1,039.71	$2,025.64	$4,241.93