Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.83 / $1,568.25 / $14,482.00	Facility		$918.83	$1,568.25	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.19 / $918.83 / $2,684.32	Professional		$603.19	$918.83	$2,684.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.12 / $2,032.88 / $4,477.08	Professional		$746.12	$2,032.88	$4,477.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,967.15 / $2,298.76 / $3,707.83	Facility		$1,967.15	$2,298.76	$3,707.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.31 / $2,334.71 / $3,145.38	Professional		$1,324.31	$2,334.71	$3,145.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $766.70 / $1,075.03 / $1,528.50	Facility		$766.70	$1,075.03	$1,528.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $876.18 / $1,962.50 / $7,700.00	Facility		$876.18	$1,962.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $895.50 / $2,485.23 / $5,294.84	Professional		$895.50	$2,485.23	$5,294.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $491.10 / $1,588.39	Professional		$62.33	$491.10	$1,588.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $836.40 / $1,075.03 / $1,528.50	Facility		$836.40	$1,075.03	$1,528.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,560.65 / $2,401.00 / $3,057.42	Professional		$1,560.65	$2,401.00	$3,057.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,946.35 / $11,946.35 / $11,946.35	Facility		$11,946.35	$11,946.35	$11,946.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,353.99 / $3,730.65 / $6,383.18	Professional		$1,353.99	$3,730.65	$6,383.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.05 / $1,848.05 / $1,848.05	Professional		$1,848.05	$1,848.05	$1,848.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.74 / $4,556.43 / $4,556.43	Professional		$1,778.74	$4,556.43	$4,556.43
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 $895.50 / $2,194.17 / $3,269.91	Professional		$895.50	$2,194.17	$3,269.91