Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,962.18 / $14,482.00	Facility		$930.84	$1,962.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.25 / $970.21 / $4,390.57	Professional		$894.25	$970.21	$4,390.57
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 $920.08 / $2,148.10 / $5,475.38	Professional		$920.08	$2,148.10	$5,475.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,473.57 / $2,890.57 / $4,434.20	Facility		$2,473.57	$2,890.57	$4,434.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.21 / $3,798.77 / $4,316.79	Professional		$1,399.21	$3,798.77	$4,316.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,303.18 / $2,014.35	Facility		$930.84	$1,303.18	$2,014.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,848.00 / $16,976.00	Facility		$930.84	$1,848.00	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,010.27 / $1,882.45 / $7,111.44	Professional		$1,010.27	$1,882.45	$7,111.44
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 $930.84 / $1,288.10 / $2,014.35	Facility		$930.84	$1,288.10	$2,014.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,911.65 / $2,329.27 / $3,477.14	Professional		$1,911.65	$2,329.27	$3,477.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,775.44 / $6,775.44 / $6,775.44	Facility		$6,775.44	$6,775.44	$6,775.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,777.29 / $4,592.64 / $7,111.44	Professional		$1,777.29	$4,592.64	$7,111.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,079.15 / $3,079.15 / $3,079.15	Professional		$3,079.15	$3,079.15	$3,079.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,794.63 / $4,735.45 / $6,045.55	Professional		$2,794.63	$4,735.45	$6,045.55
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $17,119.00 / $22,229.00	Facility		$8,452.00	$17,119.00	$22,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.81 / $1,852.00 / $4,162.07	Professional		$979.81	$1,852.00	$4,162.07