Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.38 / $1,595.50 / $14,482.00	Facility		$936.38	$1,595.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.65 / $936.38 / $2,725.58	Professional		$615.65	$936.38	$2,725.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.49 / $2,132.86 / $4,573.12	Professional		$761.49	$2,132.86	$4,573.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,002.29 / $2,339.83 / $3,774.07	Facility		$2,002.29	$2,339.83	$3,774.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.46 / $2,377.63 / $3,198.35	Professional		$1,143.46	$2,377.63	$3,198.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $780.02 / $1,095.56 / $1,695.60	Facility		$780.02	$1,095.56	$1,695.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.17 / $2,429.00 / $7,700.00	Facility		$892.17	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $915.26 / $2,515.10 / $5,408.45	Professional		$915.26	$2,515.10	$5,408.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $494.07 / $1,647.76	Professional		$62.33	$494.07	$1,647.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $850.93 / $1,154.33 / $1,695.60	Facility		$850.93	$1,154.33	$1,695.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,589.25 / $2,445.00 / $3,094.16	Professional		$1,589.25	$2,445.00	$3,094.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,854.66 / $16,854.66 / $16,854.66	Facility		$16,854.66	$16,854.66	$16,854.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,081.33 / $3,882.45 / $5,871.04	Professional		$1,081.33	$3,882.45	$5,871.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,893.58 / $1,893.58 / $1,893.58	Professional		$1,893.58	$1,893.58	$1,893.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.65 / $4,640.22 / $4,640.22	Professional		$1,809.65	$4,640.22	$4,640.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.57 / $2,317.88 / $3,406.77	Professional		$914.57	$2,317.88	$3,406.77