Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.28 / $2,041.96 / $14,482.00	Facility		$977.28	$2,041.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.18 / $1,004.75 / $4,650.80	Professional		$937.18	$1,004.75	$4,650.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,139.00 / $19,992.00	Facility		$6,538.00	$11,139.00	$19,992.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.65 / $2,255.27 / $5,761.16	Professional		$970.65	$2,255.27	$5,761.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,581.71 / $3,016.93 / $4,628.05	Facility		$2,581.71	$3,016.93	$4,628.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.70 / $3,965.24 / $4,505.95	Professional		$1,455.70	$3,965.24	$4,505.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.28 / $1,358.91 / $2,159.79	Facility		$977.28	$1,358.91	$2,159.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.28 / $2,007.05 / $13,250.00	Facility		$977.28	$2,007.05	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,058.51 / $1,955.67 / $8,440.44	Professional		$1,058.51	$1,955.67	$8,440.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $608.25 / $1,930.00	Professional		$66.47	$608.25	$1,930.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $977.28 / $1,342.15 / $2,159.79	Facility		$977.28	$1,342.15	$2,159.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,976.65 / $2,408.46 / $3,595.37	Professional		$1,976.65	$2,408.46	$3,595.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,960.05 / $13,960.05 / $13,960.05	Facility		$13,960.05	$13,960.05	$13,960.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,855.16 / $4,864.85 / $8,440.44	Professional		$1,855.16	$4,864.85	$8,440.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,239.88 / $3,239.88 / $3,239.88	Professional		$3,239.88	$3,239.88	$3,239.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,270.08 / $4,976.58 / $6,310.44	Professional		$3,270.08	$4,976.58	$6,310.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.51 / $1,950.38 / $4,427.01	Professional		$1,058.51	$1,950.38	$4,427.01