Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.26 / $1,568.79 / $14,482.00	Facility		$715.26	$1,568.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.76 / $757.30 / $3,362.44	Professional		$685.76	$757.30	$3,362.44
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 $702.45 / $1,434.53 / $4,210.66	Professional		$702.45	$1,434.53	$4,210.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,912.18 / $2,234.53 / $3,427.83	Facility		$1,912.18	$2,234.53	$3,427.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.29 / $2,931.63 / $3,331.40	Professional		$1,122.29	$2,931.63	$3,331.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $715.26 / $1,035.56 / $1,743.10	Facility		$715.26	$1,035.56	$1,743.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.26 / $1,481.29 / $14,246.00	Facility		$715.26	$1,481.29	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $778.16 / $1,440.00 / $5,479.44	Professional		$778.16	$1,440.00	$5,479.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $445.71 / $1,464.01	Professional		$66.47	$445.71	$1,464.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $715.26 / $1,035.56 / $1,743.10	Facility		$715.26	$1,035.56	$1,743.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,523.60 / $1,856.45 / $2,771.31	Professional		$1,523.60	$1,856.45	$2,771.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,096.65 / $6,096.65 / $6,096.65	Facility		$6,096.65	$6,096.65	$6,096.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,371.57 / $3,517.20 / $5,479.44	Professional		$1,371.57	$3,517.20	$5,479.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.92 / $2,367.92 / $2,367.92	Professional		$2,367.92	$2,367.92	$2,367.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $3,626.39 / $4,665.46	Professional		$1,421.10	$3,626.39	$4,665.46
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 $778.16 / $1,484.43 / $3,200.65	Professional		$778.16	$1,484.43	$3,200.65