Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.43 / $1,802.52 / $14,482.00	Facility		$857.43	$1,802.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.77 / $891.61 / $4,055.26	Professional		$824.77	$891.61	$4,055.26
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 $849.47 / $1,978.69 / $5,053.22	Professional		$849.47	$1,978.69	$5,053.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,271.71 / $2,654.69 / $4,072.36	Facility		$2,271.71	$2,654.69	$4,072.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.23 / $3,494.33 / $3,970.83	Professional		$1,343.23	$3,494.33	$3,970.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $857.43 / $1,281.79 / $1,894.92	Facility		$857.43	$1,281.79	$1,894.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.43 / $1,760.00 / $13,120.00	Facility		$857.43	$1,760.00	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.40 / $1,908.86 / $6,643.43	Professional		$1,010.40	$1,908.86	$6,643.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $529.95 / $1,683.18	Professional		$66.47	$529.95	$1,683.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $857.43 / $1,245.09 / $1,894.92	Facility		$857.43	$1,245.09	$1,894.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,759.55 / $2,143.94 / $3,200.49	Professional		$1,759.55	$2,143.94	$3,200.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,239.52 / $6,239.52 / $6,239.52	Facility		$6,239.52	$6,239.52	$6,239.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,634.83 / $4,241.89 / $6,643.43	Professional		$1,634.83	$4,241.89	$6,643.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,841.76 / $2,841.76 / $2,841.76	Professional		$2,841.76	$2,841.76	$2,841.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,865.33 / $4,371.41 / $5,560.95	Professional		$2,865.33	$4,371.41	$5,560.95
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.33 / $1,787.54 / $3,860.13	Professional		$956.33	$1,787.54	$3,860.13