Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.42 / $3,601.38 / $14,482.00	Facility		$1,480.42	$3,601.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.88 / $1,480.42 / $4,635.60	Professional		$920.88	$1,480.42	$4,635.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.84 / $1,911.42 / $4,489.51	Professional		$913.84	$1,911.42	$4,489.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,615.05 / $3,055.89 / $4,929.05	Facility		$2,615.05	$3,055.89	$4,929.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.81 / $2,377.65 / $3,559.16	Professional		$1,120.81	$2,377.65	$3,559.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $898.10 / $1,279.38 / $2,004.36	Facility		$898.10	$1,279.38	$2,004.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.58 / $4,103.00 / $8,384.00	Facility		$946.58	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $908.24 / $1,929.15 / $7,332.80	Professional		$908.24	$1,929.15	$7,332.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $558.84 / $1,619.79	Professional		$91.28	$558.84	$1,619.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $898.10 / $1,279.38 / $2,047.50	Facility		$898.10	$1,279.38	$2,047.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,744.80 / $2,303.14 / $3,269.17	Professional		$1,744.80	$2,303.14	$3,269.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,907.44 / $6,907.44 / $6,907.44	Facility		$6,907.44	$6,907.44	$6,907.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,628.37 / $4,635.60 / $7,332.80	Professional		$1,628.37	$4,635.60	$7,332.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,639.25 / $4,639.25 / $4,639.25	Professional		$4,639.25	$4,639.25	$4,639.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,564.05 / $5,990.35 / $9,566.82	Professional		$3,564.05	$5,990.35	$9,566.82
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 $974.78 / $1,929.15 / $4,176.24	Professional		$974.78	$1,929.15	$4,176.24