Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.97 / $1,599.08 / $14,482.00	Facility		$976.97	$1,599.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.13 / $976.97 / $2,570.90	Professional		$582.13	$976.97	$2,570.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.68 / $2,091.65 / $4,733.62	Professional		$726.68	$2,091.65	$4,733.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,074.38 / $2,424.08 / $3,909.95	Facility		$2,074.38	$2,424.08	$3,909.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.95 / $2,412.85 / $3,272.80	Professional		$1,058.95	$2,412.85	$3,272.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $781.77 / $1,051.90 / $1,528.01	Facility		$781.77	$1,051.90	$1,528.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $852.84 / $2,781.00 / $6,150.00	Facility		$852.84	$2,781.00	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $862.47 / $2,159.98 / $5,257.79	Professional		$862.47	$2,159.98	$5,257.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $482.52 / $1,562.30	Professional		$62.75	$482.52	$1,562.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $781.77 / $1,051.90 / $1,528.01	Facility		$781.77	$1,051.90	$1,528.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,520.35 / $2,339.00 / $2,867.82	Professional		$1,520.35	$2,339.00	$2,867.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,522.40 / $5,522.40 / $5,522.40	Facility		$5,522.40	$5,522.40	$5,522.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,097.34 / $3,704.55 / $5,815.36	Professional		$1,097.34	$3,704.55	$5,815.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,970.65 / $1,970.65 / $1,970.65	Professional		$1,970.65	$1,970.65	$1,970.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.53 / $4,708.93 / $4,708.93	Professional		$1,779.53	$4,708.93	$4,708.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $821.40 / $2,207.12 / $3,379.25	Professional		$821.40	$2,207.12	$3,379.25