Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.33 / $2,423.77 / $14,482.00	Facility		$988.33	$2,423.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.49 / $1,026.65 / $3,990.49	Professional		$876.49	$1,026.65	$3,990.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,916.00 / $20,562.00	Facility		$8,712.00	$12,916.00	$20,562.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,128.56 / $2,883.71 / $5,394.57	Professional		$1,128.56	$2,883.71	$5,394.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,053.90 / $3,568.72 / $5,756.22	Facility		$3,053.90	$3,568.72	$5,756.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,154.44 / $3,014.59 / $4,886.29	Professional		$2,154.44	$3,014.59	$4,886.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $988.33 / $1,378.85 / $2,316.04	Facility		$988.33	$1,378.85	$2,316.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,156.34 / $2,553.00 / $7,700.00	Facility		$1,156.34	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,296.71 / $2,898.99 / $4,976.77	Professional		$1,296.71	$2,898.99	$4,976.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $740.31 / $2,438.60	Professional		$95.64	$740.31	$2,438.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $988.33 / $1,378.85 / $2,316.04	Facility		$988.33	$1,378.85	$2,316.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,405.00 / $3,219.09 / $4,374.51	Professional		$2,405.00	$3,219.09	$4,374.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,836.04 / $19,836.04 / $19,836.04	Facility		$19,836.04	$19,836.04	$19,836.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,268.37 / $5,678.00 / $8,869.76	Professional		$2,268.37	$5,678.00	$8,869.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,200.31 / $2,200.31 / $2,200.31	Professional		$2,200.31	$2,200.31	$2,200.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,105.67 / $5,012.96 / $5,012.96	Professional		$2,105.67	$5,012.96	$5,012.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,296.71 / $3,429.60 / $4,712.74	Professional		$1,296.71	$3,429.60	$4,712.74