Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.21 / $1,782.25 / $3,176.36	Facility		$1,039.21	$1,782.25	$3,176.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.78 / $1,039.21 / $3,136.48	Professional		$750.78	$1,039.21	$3,136.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,835.00 / $7,344.00	Facility		$2,740.00	$4,835.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $869.41 / $2,193.51 / $3,951.85	Professional		$869.41	$2,193.51	$3,951.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,232.07 / $2,608.36 / $4,207.18	Facility		$2,232.07	$2,608.36	$4,207.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.78 / $2,515.89 / $2,976.48	Professional		$1,227.78	$2,515.89	$2,976.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $950.53 / $1,215.88 / $4,014.64	Facility		$950.53	$1,215.88	$4,014.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.53 / $2,429.00 / $7,700.00	Facility		$950.53	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,043.89 / $2,025.64 / $3,934.82	Professional		$1,043.89	$2,025.64	$3,934.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,237.19 / $2,292.14	Professional		$85.00	$1,237.19	$2,292.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $950.53 / $1,215.88 / $4,014.64	Facility		$950.53	$1,215.88	$4,014.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,829.75 / $2,530.12 / $3,196.71	Professional		$1,829.75	$2,530.12	$3,196.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,586.16 / $8,586.16 / $8,586.16	Facility		$8,586.16	$8,586.16	$8,586.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,263.84 / $4,349.55 / $6,672.80	Professional		$1,263.84	$4,349.55	$6,672.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.58 / $1,621.58 / $1,621.58	Professional		$1,621.58	$1,621.58	$1,621.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.52 / $2,719.37 / $2,719.37	Professional		$1,792.52	$2,719.37	$2,719.37
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 $1,043.89 / $2,025.64 / $2,832.49	Professional		$1,043.89	$2,025.64	$2,832.49