Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.62 / $1,838.77 / $14,482.00	Facility		$876.62	$1,838.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.63 / $904.89 / $4,153.39	Professional		$839.63	$904.89	$4,153.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.10 / $2,022.96 / $5,158.34	Professional		$867.10	$2,022.96	$5,158.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,323.09 / $2,714.71 / $4,164.43	Facility		$2,323.09	$2,714.71	$4,164.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.95 / $3,562.04 / $4,047.78	Professional		$1,312.95	$3,562.04	$4,047.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $876.62 / $1,234.30 / $1,937.33	Facility		$876.62	$1,234.30	$1,937.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $876.62 / $1,807.52 / $13,250.00	Facility		$876.62	$1,807.52	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $955.80 / $1,746.51 / $7,152.58	Professional		$955.80	$1,746.51	$7,152.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $531.52 / $1,708.10	Professional		$66.47	$531.52	$1,708.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $876.62 / $1,234.30 / $1,937.33	Facility		$876.62	$1,234.30	$1,937.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,777.75 / $2,166.12 / $3,233.59	Professional		$1,777.75	$2,166.12	$3,233.59
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 $1,666.52 / $4,344.55 / $7,152.58	Professional		$1,666.52	$4,344.55	$7,152.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,900.87 / $2,900.87 / $2,900.87	Professional		$2,900.87	$2,900.87	$2,900.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,617.69 / $4,449.89 / $5,668.77	Professional		$2,617.69	$4,449.89	$5,668.77
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 $944.46 / $1,805.52 / $3,953.54	Professional		$944.46	$1,805.52	$3,953.54