Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.89 / $2,171.21 / $14,482.00	Facility		$881.89	$2,171.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.89 / $926.73 / $3,486.02	Professional		$881.89	$926.73	$3,486.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.49 / $2,223.81 / $4,707.93	Professional		$984.49	$2,223.81	$4,707.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,744.81 / $3,207.53 / $4,920.43	Facility		$2,744.81	$3,207.53	$4,920.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.82 / $2,093.10 / $3,057.36	Professional		$960.82	$2,093.10	$3,057.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $964.98 / $1,378.29 / $3,041.55	Facility		$964.98	$1,378.29	$3,041.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,031.81 / $2,894.94 / $11,598.00	Facility		$1,031.81	$2,894.94	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $964.98 / $1,582.98 / $4,571.60	Professional		$964.98	$1,582.98	$4,571.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $616.78 / $1,886.48	Professional		$93.48	$616.78	$1,886.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $964.98 / $1,378.29 / $3,041.55	Facility		$964.98	$1,378.29	$3,041.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,012.72 / $2,580.65 / $3,662.31	Professional		$2,012.72	$2,580.65	$3,662.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,218.61 / $4,422.42 / $9,234.62	Professional		$1,218.61	$4,422.42	$9,234.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,938.06 / $1,938.06 / $1,938.06	Professional		$1,938.06	$1,938.06	$1,938.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,833.66 / $3,573.88 / $4,473.97	Professional		$1,833.66	$3,573.88	$4,473.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $922.43 / $1,582.98 / $4,075.80	Professional		$922.43	$1,582.98	$4,075.80