Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.76 / $2,084.80 / $14,482.00	Facility		$848.76	$2,084.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.76 / $889.46 / $3,346.40	Professional		$848.76	$889.46	$3,346.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.24 / $2,140.27 / $4,525.77	Professional		$949.24	$2,140.27	$4,525.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,638.48 / $3,083.27 / $4,729.82	Facility		$2,638.48	$3,083.27	$4,729.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.73 / $2,010.17 / $2,939.09	Professional		$1,015.73	$2,010.17	$2,939.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $926.58 / $1,328.94 / $2,918.40	Facility		$926.58	$1,328.94	$2,918.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $993.05 / $2,779.74 / $5,801.00	Facility		$993.05	$2,779.74	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $944.23 / $1,599.36 / $4,530.18	Professional		$944.23	$1,599.36	$4,530.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $601.63 / $1,840.15	Professional		$63.88	$601.63	$1,840.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $926.58 / $1,328.94 / $2,918.40	Facility		$926.58	$1,328.94	$2,918.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,931.59 / $2,476.62 / $3,514.68	Professional		$1,931.59	$2,476.62	$3,514.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $8,353.37 / $8,353.37	Facility		$3,773.88	$8,353.37	$8,353.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,171.47 / $4,251.33 / $7,527.76	Professional		$1,171.47	$4,251.33	$7,527.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.18 / $1,867.18 / $1,867.18	Professional		$1,867.18	$1,867.18	$1,867.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.94 / $3,430.75 / $4,300.89	Professional		$1,769.94	$3,430.75	$4,300.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $951.45 / $1,540.88 / $3,652.65	Professional		$951.45	$1,540.88	$3,652.65