Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.06 / $3,141.71 / $14,482.00	Facility		$1,282.06	$3,141.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.28 / $1,282.06 / $4,162.25	Professional		$824.28	$1,282.06	$4,162.25
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 $815.48 / $1,655.31 / $3,998.50	Professional		$815.48	$1,655.31	$3,998.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,263.61 / $2,645.21 / $4,266.63	Facility		$2,263.61	$2,645.21	$4,266.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.97 / $2,068.28 / $3,090.10	Professional		$974.97	$2,068.28	$3,090.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $783.47 / $1,174.42 / $1,743.41	Facility		$783.47	$1,174.42	$1,743.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $838.22 / $4,103.00 / $8,783.00	Facility		$838.22	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $832.74 / $1,732.16 / $6,380.32	Professional		$832.74	$1,732.16	$6,380.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $481.84 / $1,433.20	Professional		$62.75	$481.84	$1,433.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $783.47 / $1,174.42 / $2,028.18	Facility		$783.47	$1,174.42	$2,028.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,522.20 / $2,009.30 / $2,852.10	Professional		$1,522.20	$2,009.30	$2,852.10
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 $1,413.77 / $4,162.25 / $6,380.32	Professional		$1,413.77	$4,162.25	$6,380.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,004.35 / $4,004.35 / $4,004.35	Professional		$4,004.35	$4,004.35	$4,004.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,280.97 / $5,170.55 / $8,306.00	Professional		$3,280.97	$5,170.55	$8,306.00
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 $840.71 / $1,573.33 / $3,648.21	Professional		$840.71	$1,573.33	$3,648.21