Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.88 / $1,834.87 / $3,820.17	Facility		$380.88	$1,834.87	$3,820.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.13 / $1,141.93 / $1,889.90	Professional		$917.13	$1,141.93	$1,889.90
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 $940.14 / $1,429.26 / $4,036.84	Professional		$940.14	$1,429.26	$4,036.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,845.74 / $3,325.47 / $5,101.35	Facility		$2,845.74	$3,325.47	$5,101.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.59 / $2,692.74 / $4,877.26	Professional		$1,318.59	$2,692.74	$4,877.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $902.53 / $1,219.40 / $2,178.38	Facility		$902.53	$1,219.40	$2,178.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $902.53 / $1,217.84 / $2,340.52	Facility		$902.53	$1,217.84	$2,340.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,248.42 / $2,308.14 / $6,397.70	Professional		$1,248.42	$2,308.14	$6,397.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $752.22 / $1,960.19	Professional		$107.97	$752.22	$1,960.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $902.53 / $1,226.72 / $2,178.38	Facility		$902.53	$1,226.72	$2,178.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,668.06 / $2,378.53 / $3,507.87	Professional		$1,668.06	$2,378.53	$3,507.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,676.16 / $4,676.16 / $4,676.16	Facility		$4,676.16	$4,676.16	$4,676.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,490.58 / $4,631.70 / $6,397.70	Professional		$1,490.58	$4,631.70	$6,397.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.53 / $1,228.53 / $1,228.53	Professional		$1,228.53	$1,228.53	$1,228.53
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 $2,410.23 / $3,778.44 / $5,308.87	Professional		$2,410.23	$3,778.44	$5,308.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,222.54 / $2,157.59 / $3,576.51	Professional		$1,222.54	$2,157.59	$3,576.51