Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.42 / $1,834.22 / $14,482.00	Facility		$1,069.42	$1,834.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.21 / $1,069.42 / $2,871.34	Professional		$696.21	$1,069.42	$2,871.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.49 / $2,246.40 / $3,837.40	Professional		$865.49	$2,246.40	$3,837.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,318.58 / $2,709.45 / $4,370.24	Facility		$2,318.58	$2,709.45	$4,370.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.57 / $2,660.16 / $3,068.60	Professional		$1,263.57	$2,660.16	$3,068.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $978.25 / $1,211.69 / $3,279.39	Facility		$978.25	$1,211.69	$3,279.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $978.25 / $2,429.00 / $7,700.00	Facility		$978.25	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $992.16 / $2,226.96 / $4,361.99	Professional		$992.16	$2,226.96	$4,361.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $705.06 / $1,953.26	Professional		$169.65	$705.06	$1,953.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $896.73 / $1,211.69 / $3,279.39	Facility		$896.73	$1,211.69	$3,279.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,861.60 / $2,574.16 / $3,252.36	Professional		$1,861.60	$2,574.16	$3,252.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,685.51 / $7,685.51 / $7,685.51	Facility		$7,685.51	$7,685.51	$7,685.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,303.16 / $4,356.80 / $6,830.80	Professional		$1,303.16	$4,356.80	$6,830.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.63 / $1,666.63 / $1,666.63	Professional		$1,666.63	$1,666.63	$1,666.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.91 / $2,803.96 / $2,803.96	Professional		$1,645.91	$2,803.96	$2,803.96
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 $1,016.02 / $2,275.89 / $3,812.45	Professional		$1,016.02	$2,275.89	$3,812.45