Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.43 / $1,583.46 / $14,482.00	Facility		$750.43	$1,583.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.74 / $783.00 / $3,523.29	Professional		$719.74	$783.00	$3,523.29
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 $737.13 / $1,731.76 / $4,410.32	Professional		$737.13	$1,731.76	$4,410.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.59 / $2,336.67 / $3,584.52	Facility		$1,999.59	$2,336.67	$3,584.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.85 / $3,066.46 / $3,484.61	Professional		$1,130.85	$3,066.46	$3,484.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $750.43 / $1,050.59 / $1,635.13	Facility		$750.43	$1,050.59	$1,635.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.43 / $1,242.78 / $14,246.00	Facility		$750.43	$1,242.78	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $811.36 / $1,513.14 / $5,732.88	Professional		$811.36	$1,513.14	$5,732.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $462.45 / $1,484.86	Professional		$66.47	$462.45	$1,484.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $750.43 / $1,031.98 / $1,635.13	Facility		$750.43	$1,031.98	$1,635.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,540.50 / $1,877.04 / $2,802.05	Professional		$1,540.50	$1,877.04	$2,802.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,374.76 / $6,374.76 / $6,374.76	Facility		$6,374.76	$6,374.76	$6,374.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,434.67 / $3,685.45 / $5,732.88	Professional		$1,434.67	$3,685.45	$5,732.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,480.21 / $2,480.21 / $2,480.21	Professional		$2,480.21	$2,480.21	$2,480.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.99 / $3,809.45 / $4,880.14	Professional		$1,278.99	$3,809.45	$4,880.14
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.80 / $1,489.49 / $3,353.76	Professional		$810.80	$1,489.49	$3,353.76