Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.68 / $1,578.10 / $14,482.00	Facility		$755.68	$1,578.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.28 / $780.23 / $3,660.62	Professional		$732.28	$780.23	$3,660.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,684.00 / $4,733.00 / $11,302.00	Facility		$1,684.00	$4,733.00	$11,302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.24 / $1,743.89 / $4,715.71	Professional		$768.24	$1,743.89	$4,715.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,976.16 / $2,309.29 / $3,542.52	Facility		$1,976.16	$2,309.29	$3,542.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,178.34 / $3,184.38 / $3,618.61	Professional		$1,178.34	$3,184.38	$3,618.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $755.68 / $1,122.21 / $1,964.77	Facility		$755.68	$1,122.21	$1,964.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.68 / $1,578.11 / $14,246.00	Facility		$755.68	$1,578.11	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $918.52 / $1,624.49 / $13,245.15	Professional		$918.52	$1,624.49	$13,245.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $446.28 / $847.34 / $1,877.39	Professional		$446.28	$847.34	$1,877.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $755.68 / $1,102.56 / $1,964.77	Facility		$755.68	$1,102.56	$1,964.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,550.60 / $1,890.50 / $2,822.15	Professional		$1,550.60	$1,890.50	$2,822.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,834.50 / $12,834.50 / $12,834.50	Facility		$12,834.50	$12,834.50	$12,834.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,433.40 / $3,829.10 / $13,245.15	Professional		$1,433.40	$3,829.10	$13,245.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,516.71 / $2,516.71 / $2,516.71	Professional		$2,516.71	$2,516.71	$2,516.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,643.32 / $4,875.78 / $4,875.78	Professional		$2,643.32	$4,875.78	$4,875.78
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 $867.11 / $1,681.20 / $3,484.48	Professional		$867.11	$1,681.20	$3,484.48