Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,314.76 / $3,219.51 / $14,482.00	Facility		$1,314.76	$3,219.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.68 / $1,314.76 / $4,254.30	Professional		$839.68	$1,314.76	$4,254.30
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 $832.12 / $1,697.53 / $4,096.10	Professional		$832.12	$1,697.53	$4,096.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,335.69 / $2,729.45 / $4,402.51	Facility		$2,335.69	$2,729.45	$4,402.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.36 / $2,128.50 / $3,174.94	Professional		$1,003.36	$2,128.50	$3,174.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $802.87 / $1,202.70 / $1,793.75	Facility		$802.87	$1,202.70	$1,793.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $847.79 / $4,103.00 / $8,783.00	Facility		$847.79	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $839.11 / $1,770.47 / $6,536.32	Professional		$839.11	$1,770.47	$6,536.32
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 $802.87 / $1,202.70 / $1,911.00	Facility		$802.87	$1,202.70	$1,911.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,560.00 / $2,059.19 / $2,922.92	Professional		$1,560.00	$2,059.19	$2,922.92
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 $1,452.59 / $4,254.30 / $6,536.32	Professional		$1,452.59	$4,254.30	$6,536.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,102.10 / $4,102.10 / $4,102.10	Professional		$4,102.10	$4,102.10	$4,102.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,355.97 / $5,296.78 / $8,534.16	Professional		$3,355.97	$5,296.78	$8,534.16
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 $839.11 / $1,624.21 / $3,728.89	Professional		$839.11	$1,624.21	$3,728.89