Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.78 / $11,139.00 / $14,482.00	Facility		$881.78	$11,139.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.78 / $1,443.21 / $2,442.94	Professional		$881.78	$1,443.21	$2,442.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.97 / $3,580.06 / $9,434.10	Professional		$1,370.97	$3,580.06	$9,434.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,601.12 / $5,376.77 / $8,672.54	Facility		$4,601.12	$5,376.77	$8,672.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.83 / $1,034.91 / $5,191.09	Professional		$345.83	$1,034.91	$5,191.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.67 / $1,335.69 / $3,371.95	Facility		$302.67	$1,335.69	$3,371.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $591.57 / $9,630.90 / $16,779.00	Facility		$591.57	$9,630.90	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,553.51 / $4,109.37 / $7,035.06	Professional		$1,553.51	$4,109.37	$7,035.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,568.35	Professional		$50.00	$58.40	$1,568.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.67 / $1,335.69 / $3,371.95	Facility		$302.67	$1,335.69	$3,371.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,043.70 / $3,750.74 / $5,230.50	Professional		$2,043.70	$3,750.74	$5,230.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,336.70 / $22,336.70 / $22,336.70	Facility		$22,336.70	$22,336.70	$22,336.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,508.67 / $11,573.20 / $11,573.20	Professional		$6,508.67	$11,573.20	$11,573.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.96 / $1,492.96 / $8,509.87	Professional		$1,492.96	$1,492.96	$8,509.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,074.63 / $8,986.43 / $11,825.36	Professional		$2,074.63	$8,986.43	$11,825.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,538.08 / $4,109.37 / $6,143.11	Professional		$1,538.08	$4,109.37	$6,143.11