Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.80 / $3,222.08 / $14,482.00	Facility		$1,315.80	$3,222.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.33 / $1,315.80 / $3,414.92	Professional		$840.33	$1,315.80	$3,414.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.78 / $1,698.87 / $4,097.82	Professional		$832.78	$1,698.87	$4,097.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,336.60 / $2,730.51 / $4,404.21	Facility		$2,336.60	$2,730.51	$4,404.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.14 / $2,130.15 / $3,176.24	Professional		$1,004.14	$2,130.15	$3,176.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $803.51 / $1,203.69 / $1,795.14	Facility		$803.51	$1,203.69	$1,795.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $848.50 / $4,103.00 / $8,783.00	Facility		$848.50	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $842.74 / $1,771.95 / $6,538.96	Professional		$842.74	$1,771.95	$6,538.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $481.18 / $1,483.07	Professional		$62.75	$481.18	$1,483.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $803.51 / $1,203.69 / $1,984.50	Facility		$803.51	$1,203.69	$1,984.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,561.20 / $2,060.78 / $2,925.17	Professional		$1,561.20	$2,060.78	$2,925.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,453.18 / $4,257.85 / $6,538.96	Professional		$1,453.18	$4,257.85	$6,538.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,103.84 / $4,103.84 / $4,103.84	Professional		$4,103.84	$4,103.84	$4,103.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,358.72 / $5,299.00 / $8,537.51	Professional		$3,358.72	$5,299.00	$8,537.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.80 / $1,771.95 / $3,732.01	Professional		$869.80	$1,771.95	$3,732.01