Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.83 / $1,772.64 / $14,482.00	Facility		$843.83	$1,772.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.65 / $876.40 / $3,990.30	Professional		$811.65	$876.40	$3,990.30
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 $834.98 / $1,947.29 / $4,972.10	Professional		$834.98	$1,947.29	$4,972.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,236.58 / $2,613.62 / $4,009.36	Facility		$2,236.58	$2,613.62	$4,009.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.28 / $3,439.14 / $3,908.11	Professional		$1,331.28	$3,439.14	$3,908.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $843.83 / $1,260.54 / $1,864.86	Facility		$843.83	$1,260.54	$1,864.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.83 / $1,739.93 / $13,120.00	Facility		$843.83	$1,739.93	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $994.21 / $1,878.28 / $6,777.50	Professional		$994.21	$1,878.28	$6,777.50
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 $843.83 / $1,225.26 / $1,864.86	Facility		$843.83	$1,225.26	$1,864.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,729.00 / $2,106.71 / $3,144.92	Professional		$1,729.00	$2,106.71	$3,144.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,118.00 / $5,118.00 / $5,118.00	Facility		$5,118.00	$5,118.00	$5,118.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,609.02 / $4,173.95 / $6,777.50	Professional		$1,609.02	$4,173.95	$6,777.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,796.13 / $2,796.13 / $2,796.13	Professional		$2,796.13	$2,796.13	$2,796.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,202.71 / $4,301.01 / $5,473.18	Professional		$2,202.71	$4,301.01	$5,473.18
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.70 / $1,916.01 / $3,798.29	Professional		$966.70	$1,916.01	$3,798.29