Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,829.05 / $14,482.00	Facility		$866.77	$1,829.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.08 / $920.39 / $4,071.80	Professional		$832.08	$920.39	$4,071.80
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 $852.86 / $2,000.24 / $5,081.01	Professional		$852.86	$2,000.24	$5,081.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,306.87 / $2,695.76 / $4,135.35	Facility		$2,306.87	$2,695.76	$4,135.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,758.64 / $3,541.65 / $4,024.60	Professional		$1,758.64	$3,541.65	$4,024.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,194.00 / $2,032.28	Facility		$866.77	$1,194.00	$2,032.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,795.50 / $14,246.00	Facility		$866.77	$1,795.50	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $979.57 / $1,725.19 / $6,626.80	Professional		$979.57	$1,725.19	$6,626.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $551.14 / $1,686.44	Professional		$66.47	$551.14	$1,686.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,194.00 / $2,032.28	Facility		$866.77	$1,194.00	$2,032.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,781.00 / $2,170.08 / $3,239.50	Professional		$1,781.00	$2,170.08	$3,239.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,368.13 / $7,368.13 / $7,368.13	Facility		$7,368.13	$7,368.13	$7,368.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,728.21 / $4,259.20 / $6,626.80	Professional		$3,728.21	$4,259.20	$6,626.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,857.37 / $2,857.37 / $2,857.37	Professional		$2,857.37	$2,857.37	$2,857.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,586.46 / $4,391.10 / $5,636.33	Professional		$2,586.46	$4,391.10	$5,636.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $965.53 / $1,714.06 / $3,875.87	Professional		$965.53	$1,714.06	$3,875.87