Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.64 / $1,829.11 / $14,482.00	Facility		$866.64	$1,829.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.03 / $904.44 / $4,062.81	Professional		$831.03	$904.44	$4,062.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.49 / $1,922.86 / $5,095.10	Professional		$849.49	$1,922.86	$5,095.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,310.46 / $2,699.97 / $4,141.82	Facility		$2,310.46	$2,699.97	$4,141.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.40 / $3,543.14 / $4,026.30	Professional		$1,306.40	$3,543.14	$4,026.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $866.64 / $1,249.18 / $1,915.27	Facility		$866.64	$1,249.18	$1,915.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.64 / $1,800.82 / $15,090.00	Facility		$866.64	$1,800.82	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $971.30 / $1,861.41 / $7,294.58	Professional		$971.30	$1,861.41	$7,294.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $556.26 / $1,693.35	Professional		$66.47	$556.26	$1,693.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $866.64 / $1,249.18 / $1,915.27	Facility		$866.64	$1,249.18	$1,915.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,779.05 / $2,167.69 / $3,235.96	Professional		$1,779.05	$2,167.69	$3,235.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,714.40 / $27,714.40 / $27,714.40	Facility		$27,714.40	$27,714.40	$27,714.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,657.68 / $4,249.80 / $7,294.58	Professional		$1,657.68	$4,249.80	$7,294.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,865.29 / $2,865.29 / $2,865.29	Professional		$2,865.29	$2,865.29	$2,865.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,577.51 / $4,397.93 / $5,638.68	Professional		$2,577.51	$4,397.93	$5,638.68
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 $953.25 / $1,648.92 / $3,795.24	Professional		$953.25	$1,648.92	$3,795.24