Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,020.78	Facility		$2,020.78	$2,020.78	$2,020.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,525.98	Professional		$2,020.78	$2,020.78	$2,525.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,429.38 / $1,661.18 / $1,722.99	Facility		$1,429.38	$1,661.18	$1,722.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.30 / $1,429.92 / $2,104.98	Professional		$310.30	$1,429.92	$2,104.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $833.54 / $974.05 / $2,147.08	Facility		$833.54	$974.05	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $3,789.35 / $4,306.08	Professional		$2,147.08	$3,789.35	$4,306.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $2,020.78 / $2,666.30	Facility		$302.72	$2,020.78	$2,666.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $247.71 / $247.71 / $247.71	Professional		$247.71	$247.71	$247.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $2,020.78 / $2,666.30	Facility		$302.72	$2,020.78	$2,666.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $3,367.97	Professional		$2,104.98	$2,104.98	$3,367.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $7,290.60	Professional		$55.00	$85.00	$7,290.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $2,020.78 / $2,666.30	Facility		$302.72	$2,020.78	$2,666.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $247.71 / $247.71 / $247.71	Professional		$247.71	$247.71	$247.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $704.97 / $1,037.94	Professional		$338.18	$704.97	$1,037.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,472.43 / $9,472.43 / $9,472.43	Facility		$9,472.43	$9,472.43	$9,472.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,677.54 / $8,840.93	Professional		$2,147.08	$2,677.54	$8,840.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,777.40 / $2,777.40 / $2,777.40	Professional		$2,777.40	$2,777.40	$2,777.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,705.62 / $8,598.83 / $8,598.83	Professional		$3,705.62	$8,598.83	$8,598.83
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,882.14	Professional		$2,104.98	$2,104.98	$2,882.14