Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.47 / $1,895.47 / $14,482.00	Facility		$907.47	$1,895.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.23 / $950.99 / $4,398.64	Professional		$887.23	$950.99	$4,398.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.85 / $1,858.24 / $5,411.61	Professional		$918.85	$1,858.24	$5,411.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,362.73 / $2,761.04 / $4,235.51	Facility		$2,362.73	$2,761.04	$4,235.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.15 / $3,681.56 / $4,183.59	Professional		$1,450.15	$3,681.56	$4,183.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $907.47 / $1,270.46 / $2,032.23	Facility		$907.47	$1,270.46	$2,032.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.72 / $1,895.47 / $8,103.00	Facility		$917.72	$1,895.47	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,104.26 / $1,852.56 / $7,009.20	Professional		$1,104.26	$1,852.56	$7,009.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $526.09 / $1,018.39 / $2,292.97	Professional		$526.09	$1,018.39	$2,292.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $907.47 / $1,270.46 / $2,032.23	Facility		$907.47	$1,270.46	$2,032.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,908.40 / $2,325.31 / $3,471.23	Professional		$1,908.40	$2,325.31	$3,471.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,904.80 / $17,904.80 / $17,904.80	Facility		$17,904.80	$17,904.80	$17,904.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,670.76 / $4,601.10 / $7,009.20	Professional		$1,670.76	$4,601.10	$7,009.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,043.27 / $3,043.27 / $3,043.27	Professional		$3,043.27	$3,043.27	$3,043.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,574.06 / $5,858.96 / $5,858.96	Professional		$3,574.06	$5,858.96	$5,858.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,083.30 / $1,876.06 / $4,187.00	Professional		$1,083.30	$1,876.06	$4,187.00