Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.77 / $1,772.62 / $14,482.00	Facility		$824.77	$1,772.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.99 / $897.30 / $3,862.72	Professional		$763.99	$897.30	$3,862.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $14,586.00	Facility		$5,169.00	$8,408.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.38 / $1,903.31 / $5,040.57	Professional		$801.38	$1,903.31	$5,040.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,221.26 / $2,595.71 / $3,981.90	Facility		$2,221.26	$2,595.71	$3,981.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.55 / $3,537.66 / $4,020.06	Professional		$1,266.55	$3,537.66	$4,020.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $787.83 / $1,085.54 / $1,822.74	Facility		$787.83	$1,085.54	$1,822.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $824.77 / $1,693.83 / $15,090.00	Facility		$824.77	$1,693.83	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $907.29 / $1,624.28 / $6,395.04	Professional		$907.29	$1,624.28	$6,395.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $546.27 / $1,730.04	Professional		$66.47	$546.27	$1,730.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $787.83 / $1,019.72 / $1,822.74	Facility		$787.83	$1,019.72	$1,822.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,777.10 / $2,165.33 / $3,232.41	Professional		$1,777.10	$2,165.33	$3,232.41
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 $1,592.41 / $4,040.50 / $6,395.04	Professional		$1,592.41	$4,040.50	$6,395.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.64 / $2,703.64 / $2,703.64	Professional		$2,703.64	$2,703.64	$2,703.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,676.90 / $5,042.30 / $5,416.68	Professional		$1,676.90	$5,042.30	$5,416.68
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 $907.29 / $1,616.20 / $3,676.86	Professional		$907.29	$1,616.20	$3,676.86