Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.23 / $8,243.00 / $18,649.41	Facility		$1,339.23	$8,243.00	$18,649.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $949.31 / $2,074.42	Professional		$750.87	$949.31	$2,074.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.40 / $1,729.12 / $4,563.58	Professional		$864.40	$1,729.12	$4,563.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,366.34 / $2,765.26 / $4,460.26	Facility		$2,366.34	$2,765.26	$4,460.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.32 / $2,162.33 / $4,349.55	Professional		$1,071.32	$2,162.33	$4,349.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $860.39 / $1,235.82 / $1,822.66	Facility		$860.39	$1,235.82	$1,822.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $982.91 / $7,217.00 / $15,426.26	Facility		$982.91	$7,217.00	$15,426.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $918.12 / $1,781.45 / $7,588.48	Professional		$918.12	$1,781.45	$7,588.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $483.60 / $1,448.82	Professional		$62.75	$483.60	$1,448.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $860.39 / $1,235.82 / $2,404.48	Facility		$860.39	$1,235.82	$2,404.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,591.80 / $2,101.17 / $3,136.64	Professional		$1,591.80	$2,101.17	$3,136.64
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 Facility Modifier AS Low / Median / High Price $1,125.97 / $1,125.97 / $1,125.97	Facility	AS	$1,125.97	$1,125.97	$1,125.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,477.72 / $5,226.38 / $7,588.48	Professional		$1,477.72	$5,226.38	$7,588.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,066.60 / $5,471.24 / $8,681.74	Professional		$4,066.60	$5,471.24	$8,681.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.12 / $1,759.68 / $3,827.06	Professional		$918.12	$1,759.68	$3,827.06