Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.18 / $2,063.32 / $14,482.00	Facility		$840.18	$2,063.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.18 / $880.25 / $3,380.15	Professional		$840.18	$880.25	$3,380.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.71 / $2,118.63 / $4,478.17	Professional		$958.71	$2,118.63	$4,478.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,611.44 / $3,051.68 / $4,681.35	Facility		$2,611.44	$3,051.68	$4,681.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,014.12 / $1,989.09 / $2,908.16	Professional		$1,014.12	$1,989.09	$2,908.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $917.03 / $1,342.19 / $2,887.77	Facility		$917.03	$1,342.19	$2,887.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $983.01 / $2,751.09 / $11,598.00	Facility		$983.01	$2,751.09	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $946.60 / $1,552.49 / $4,221.22	Professional		$946.60	$1,552.49	$4,221.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $601.54 / $1,840.15	Professional		$63.88	$601.54	$1,840.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $917.03 / $1,342.19 / $2,887.77	Facility		$917.03	$1,342.19	$2,887.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,911.62 / $2,451.01 / $3,478.34	Professional		$1,911.62	$2,451.01	$3,478.34
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 $1,159.15 / $4,206.60 / $7,447.60	Professional		$1,159.15	$4,206.60	$7,447.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.44 / $1,848.44 / $1,848.44	Professional		$1,848.44	$1,848.44	$1,848.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,800.60 / $3,465.34 / $4,255.63	Professional		$1,800.60	$3,465.34	$4,255.63
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 $933.05 / $1,552.49 / $3,787.26	Professional		$933.05	$1,552.49	$3,787.26