Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.33 / $1,693.26 / $14,482.00	Facility		$802.33	$1,693.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.72 / $837.18 / $3,738.68	Professional		$769.72	$837.18	$3,738.68
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 $746.20 / $1,851.52 / $4,611.57	Professional		$746.20	$1,851.52	$4,611.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,138.36 / $2,498.84 / $3,833.28	Facility		$2,138.36	$2,498.84	$3,833.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.54 / $3,278.91 / $3,726.04	Professional		$1,208.54	$3,278.91	$3,726.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $802.33 / $1,166.56 / $1,881.40	Facility		$802.33	$1,166.56	$1,881.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $802.33 / $1,618.00 / $14,246.00	Facility		$802.33	$1,618.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $892.81 / $1,712.91 / $6,130.48	Professional		$892.81	$1,712.91	$6,130.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $490.51 / $1,575.17	Professional		$66.47	$490.51	$1,575.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $802.33 / $1,166.56 / $1,881.40	Facility		$802.33	$1,166.56	$1,881.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,647.10 / $2,006.93 / $2,995.95	Professional		$1,647.10	$2,006.93	$2,995.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,816.88 / $6,816.88 / $6,816.88	Facility		$6,816.88	$6,816.88	$6,816.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,534.05 / $3,910.75 / $6,130.48	Professional		$1,534.05	$3,910.75	$6,130.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,593.38 / $2,593.38 / $2,593.38	Professional		$2,593.38	$2,593.38	$2,593.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,244.56 / $3,988.38 / $5,218.18	Professional		$2,244.56	$3,988.38	$5,218.18
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 $860.37 / $1,572.19 / $3,582.25	Professional		$860.37	$1,572.19	$3,582.25