Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.90 / $1,759.07 / $14,482.00	Facility		$833.90	$1,759.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.54 / $869.54 / $3,901.91	Professional		$799.54	$869.54	$3,901.91
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 $817.52 / $1,915.88 / $5,137.31	Professional		$817.52	$1,915.88	$5,137.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,223.96 / $2,598.88 / $3,986.75	Facility		$2,223.96	$2,598.88	$3,986.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.46 / $3,408.05 / $3,872.79	Professional		$1,256.46	$3,408.05	$3,872.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $833.90 / $1,172.72 / $1,954.53	Facility		$833.90	$1,172.72	$1,954.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $833.90 / $1,727.43 / $14,246.00	Facility		$833.90	$1,727.43	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.16 / $1,640.76 / $7,235.13	Professional		$912.16	$1,640.76	$7,235.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $510.35 / $1,639.54	Professional		$65.66	$510.35	$1,639.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $833.90 / $1,167.46 / $1,954.53	Facility		$833.90	$1,167.46	$1,954.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,709.50 / $2,082.96 / $3,109.45	Professional		$1,709.50	$2,082.96	$3,109.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,105.29 / $9,105.29 / $9,105.29	Facility		$9,105.29	$9,105.29	$9,105.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,594.49 / $4,081.50 / $7,235.13	Professional		$1,594.49	$4,081.50	$7,235.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,755.51 / $2,755.51 / $2,755.51	Professional		$2,755.51	$2,755.51	$2,755.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.04 / $4,226.30 / $5,423.73	Professional		$2,361.04	$4,226.30	$5,423.73
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 $893.22 / $1,632.60 / $3,714.17	Professional		$893.22	$1,632.60	$3,714.17