Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.88 / $2,033.19 / $14,482.00	Facility		$1,065.88	$2,033.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,004.99 / $1,065.88 / $3,322.12	Professional		$1,004.99	$1,065.88	$3,322.12
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 $979.71 / $2,599.81 / $5,850.37	Professional		$979.71	$2,599.81	$5,850.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,551.96 / $2,982.18 / $4,810.14	Facility		$2,551.96	$2,982.18	$4,810.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,346.43 / $3,089.09 / $4,083.13	Professional		$1,346.43	$3,089.09	$4,083.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $994.00 / $1,371.59 / $1,942.83	Facility		$994.00	$1,371.59	$1,942.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,065.88 / $4,240.00 / $12,631.00	Facility		$1,065.88	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,159.69 / $2,390.94 / $5,270.60	Professional		$1,159.69	$2,390.94	$5,270.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $817.55 / $2,146.03	Professional		$85.00	$817.55	$2,146.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $994.00 / $1,371.59 / $1,942.83	Facility		$994.00	$1,371.59	$1,942.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,937.00 / $2,991.03 / $3,523.25	Professional		$1,937.00	$2,991.03	$3,523.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,110.45 / $27,110.45 / $27,110.45	Facility		$27,110.45	$27,110.45	$27,110.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,376.60 / $4,859.75 / $8,596.00	Professional		$1,376.60	$4,859.75	$8,596.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,706.22 / $2,706.22 / $2,706.22	Professional		$2,706.22	$2,706.22	$2,706.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.42 / $4,782.52 / $4,782.52	Professional		$2,886.42	$4,782.52	$4,782.52
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.08 / $2,975.28 / $4,622.82	Professional		$1,136.08	$2,975.28	$4,622.82