Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,731.98 / $1,991.77 / $4,943.84	Facility		$1,731.98	$1,991.77	$4,943.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.46 / $1,078.09 / $1,784.45	Professional		$938.46	$1,078.09	$1,784.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,562.00 / $3,066.00 / $4,795.00	Facility		$2,562.00	$3,066.00	$4,795.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $883.29 / $1,349.12 / $3,810.49	Professional		$883.29	$1,349.12	$3,810.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,685.34 / $3,138.03 / $4,813.82	Facility		$2,685.34	$3,138.03	$4,813.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.42 / $2,540.56 / $4,601.54	Professional		$1,235.42	$2,540.56	$4,601.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $847.65 / $1,101.76 / $2,055.73	Facility		$847.65	$1,101.76	$2,055.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $846.73 / $1,101.76 / $2,208.84	Facility		$846.73	$1,101.76	$2,208.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.47 / $2,154.78 / $6,040.95	Professional		$1,174.47	$2,154.78	$6,040.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $703.17 / $1,834.04	Professional		$107.97	$703.17	$1,834.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $847.65 / $1,150.57 / $2,055.73	Facility		$847.65	$1,150.57	$2,055.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,574.10 / $2,244.55 / $3,310.27	Professional		$1,574.10	$2,244.55	$3,310.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,412.77 / $4,412.77 / $4,412.77	Facility		$4,412.77	$4,412.77	$4,412.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,406.32 / $4,357.30 / $6,040.95	Professional		$1,406.32	$4,357.30	$6,040.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,159.65 / $1,159.65 / $1,159.65	Professional		$1,159.65	$1,159.65	$1,159.65
Security Health Facility/Professional Facility Modifier Low / Median / High Price $462.41 / $2,561.10 / $3,109.51	Facility		$462.41	$2,561.10	$3,109.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,126.67 / $3,562.28 / $5,008.72	Professional		$2,126.67	$3,562.28	$5,008.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,106.76 / $1,918.08 / $3,306.73	Professional		$1,106.76	$1,918.08	$3,306.73