Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.68 / $1,517.22 / $14,482.00	Facility		$910.68	$1,517.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.04 / $910.68 / $2,382.19	Professional		$541.04	$910.68	$2,382.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.83 / $1,934.74 / $4,399.59	Professional		$671.83	$1,934.74	$4,399.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,970.75 / $2,302.98 / $3,714.62	Facility		$1,970.75	$2,302.98	$3,714.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.74 / $2,290.94 / $3,108.16	Professional		$1,004.74	$2,290.94	$3,108.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.75 / $1,065.50 / $1,449.79	Facility		$741.75	$1,065.50	$1,449.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $809.18 / $5,266.00 / $15,126.00	Facility		$809.18	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $799.23 / $2,034.81 / $4,849.25	Professional		$799.23	$2,034.81	$4,849.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $455.03 / $1,429.60	Professional		$62.75	$455.03	$1,429.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $809.18 / $1,065.50 / $1,449.79	Facility		$809.18	$1,065.50	$1,449.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,441.70 / $2,218.00 / $2,638.64	Professional		$1,441.70	$2,218.00	$2,638.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,041.90 / $3,416.70 / $5,518.40	Professional		$1,041.90	$3,416.70	$5,518.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.56 / $1,831.56 / $1,831.56	Professional		$1,831.56	$1,831.56	$1,831.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,663.73 / $4,471.03 / $4,471.03	Professional		$1,663.73	$4,471.03	$4,471.03
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 $804.34 / $2,040.28 / $2,994.74	Professional		$804.34	$2,040.28	$2,994.74