Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.27 / $1,862.28 / $14,482.00	Facility		$818.27	$1,862.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.27 / $909.20 / $3,811.57	Professional		$818.27	$909.20	$3,811.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.36 / $1,888.30 / $5,311.28	Professional		$804.36	$1,888.30	$5,311.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.73 / $2,750.51 / $4,219.35	Facility		$2,353.73	$2,750.51	$4,219.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.61 / $3,622.46 / $4,259.34	Professional		$1,330.61	$3,622.46	$4,259.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $818.27 / $1,068.30 / $1,862.28	Facility		$818.27	$1,068.30	$1,862.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.68 / $1,734.73 / $15,090.00	Facility		$827.68	$1,734.73	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $915.79 / $1,732.26 / $6,810.80	Professional		$915.79	$1,732.26	$6,810.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $573.28 / $1,836.50	Professional		$66.47	$573.28	$1,836.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $818.27 / $1,059.43 / $1,862.28	Facility		$818.27	$1,059.43	$1,862.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,898.00 / $2,312.64 / $3,452.32	Professional		$1,898.00	$2,312.64	$3,452.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,687.19 / $3,987.00 / $6,810.80	Professional		$1,687.19	$3,987.00	$6,810.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,714.07 / $2,714.07 / $2,714.07	Professional		$2,714.07	$2,714.07	$2,714.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $5,364.69 / $5,739.10	Professional		$1,705.32	$5,364.69	$5,739.10
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 $915.79 / $1,732.26 / $3,628.17	Professional		$915.79	$1,732.26	$3,628.17