Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $1,992.46 / $14,482.00	Facility		$945.74	$1,992.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.08 / $1,005.51 / $3,908.39	Professional		$908.08	$1,005.51	$3,908.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,870.00 / $16,083.00 / $22,519.00	Facility		$10,870.00	$16,083.00	$22,519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.47 / $2,182.46 / $5,563.86	Professional		$927.47	$2,182.46	$5,563.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,515.03 / $2,939.01 / $4,508.51	Facility		$2,515.03	$2,939.01	$4,508.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.40 / $3,860.71 / $4,387.18	Professional		$1,421.40	$3,860.71	$4,387.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $1,365.60 / $2,090.09	Facility		$945.74	$1,365.60	$2,090.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $1,903.91 / $15,090.00	Facility		$945.74	$1,903.91	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,062.95 / $2,037.95 / $7,223.84	Professional		$1,062.95	$2,037.95	$7,223.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $588.03 / $1,857.67	Professional		$66.47	$588.03	$1,857.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $945.74 / $1,365.60 / $2,090.09	Facility		$945.74	$1,365.60	$2,090.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,940.25 / $2,364.12 / $3,529.17	Professional		$1,940.25	$2,364.12	$3,529.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,806.27 / $4,652.85 / $7,223.84	Professional		$1,806.27	$4,652.85	$7,223.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,128.90 / $3,128.90 / $3,128.90	Professional		$3,128.90	$3,128.90	$3,128.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,771.50 / $4,806.53 / $6,144.11	Professional		$2,771.50	$4,806.53	$6,144.11
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 $1,043.18 / $1,805.31 / $4,234.09	Professional		$1,043.18	$1,805.31	$4,234.09