Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,882.44 / $14,482.00	Facility		$892.68	$1,882.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.36 / $947.18 / $3,591.00	Professional		$835.36	$947.18	$3,591.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,678.00 / $18,294.00	Facility		$5,169.00	$8,678.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.14 / $2,060.03 / $5,246.92	Professional		$875.14	$2,060.03	$5,246.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,377.15 / $2,777.89 / $4,261.35	Facility		$2,377.15	$2,777.89	$4,261.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.23 / $3,646.08 / $4,143.28	Professional		$1,344.23	$3,646.08	$4,143.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,293.00 / $2,112.00	Facility		$892.68	$1,293.00	$2,112.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,852.70 / $14,246.00	Facility		$892.68	$1,852.70	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,001.27 / $1,918.11 / $11,680.42	Professional		$1,001.27	$1,918.11	$11,680.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $567.82 / $1,773.71	Professional		$66.47	$567.82	$1,773.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,293.00 / $2,112.00	Facility		$892.68	$1,293.00	$2,112.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,831.70 / $2,231.86 / $3,331.72	Professional		$1,831.70	$2,231.86	$3,331.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,415.35 / $5,415.35 / $5,415.35	Facility		$5,415.35	$5,415.35	$5,415.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,705.83 / $4,379.25 / $11,680.42	Professional		$1,705.83	$4,379.25	$11,680.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,950.68 / $2,950.68 / $2,950.68	Professional		$2,950.68	$2,950.68	$2,950.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,885.62 / $4,529.70 / $5,802.52	Professional		$2,885.62	$4,529.70	$5,802.52
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 $968.30 / $1,766.26 / $3,985.12	Professional		$968.30	$1,766.26	$3,985.12