Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,012.75 / $1,932.97 / $14,482.00	Facility		$1,012.75	$1,932.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.84 / $1,012.75 / $3,444.99	Professional		$954.84	$1,012.75	$3,444.99
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 $930.46 / $2,469.76 / $5,473.07	Professional		$930.46	$2,469.76	$5,473.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,426.71 / $2,835.81 / $4,574.06	Facility		$2,426.71	$2,835.81	$4,574.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.05 / $2,936.11 / $3,882.69	Professional		$1,280.05	$2,936.11	$3,882.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $945.01 / $1,302.64 / $1,847.07	Facility		$945.01	$1,302.64	$1,847.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,012.75 / $4,240.00 / $12,631.00	Facility		$1,012.75	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,101.44 / $2,270.03 / $5,004.57	Professional		$1,101.44	$2,270.03	$5,004.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $769.02 / $1,983.36	Professional		$85.00	$769.02	$1,983.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,012.75 / $1,302.64 / $1,847.07	Facility		$1,012.75	$1,302.64	$1,847.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,842.10 / $2,844.49 / $3,350.64	Professional		$1,842.10	$2,844.49	$3,350.64
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 $1,308.44 / $4,616.50 / $7,026.40	Professional		$1,308.44	$4,616.50	$7,026.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,571.00 / $2,571.00 / $2,571.00	Professional		$2,571.00	$2,571.00	$2,571.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,704.45 / $4,545.71 / $4,545.71	Professional		$2,704.45	$4,545.71	$4,545.71
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 $1,073.18 / $2,825.71 / $4,389.47	Professional		$1,073.18	$2,825.71	$4,389.47