Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.85 / $1,998.97 / $14,482.00	Facility		$953.85	$1,998.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.82 / $999.50 / $4,595.59	Professional		$928.82	$999.50	$4,595.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.22 / $2,201.17 / $5,955.19	Professional		$963.22	$2,201.17	$5,955.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,502.41 / $2,924.26 / $4,485.89	Facility		$2,502.41	$2,924.26	$4,485.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.05 / $3,886.62 / $4,416.60	Professional		$1,495.05	$3,886.62	$4,416.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $953.85 / $1,421.49 / $2,221.08	Facility		$953.85	$1,421.49	$2,221.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.95 / $1,942.70 / $14,246.00	Facility		$960.95	$1,942.70	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,153.70 / $2,040.00 / $11,477.92	Professional		$1,153.70	$2,040.00	$11,477.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $606.01 / $1,898.91	Professional		$95.64	$606.01	$1,898.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $953.85 / $1,396.94 / $2,221.08	Facility		$953.85	$1,396.94	$2,221.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,997.45 / $2,433.82 / $3,633.21	Professional		$1,997.45	$2,433.82	$3,633.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,454.20 / $16,454.20 / $16,454.20	Facility		$16,454.20	$16,454.20	$16,454.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,818.38 / $4,807.10 / $11,477.92	Professional		$1,818.38	$4,807.10	$11,477.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,194.21 / $3,194.21 / $3,194.21	Professional		$3,194.21	$3,194.21	$3,194.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,221.16 / $5,892.86 / $6,185.32	Professional		$3,221.16	$5,892.86	$6,185.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.30 / $2,027.65 / $4,374.46	Professional		$1,122.30	$2,027.65	$4,374.46