Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.61 / $1,394.08 / $14,482.00	Facility		$817.61	$1,394.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.97 / $817.61 / $2,388.36	Professional		$539.97	$817.61	$2,388.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $21,984.61	Facility		$7,084.00	$12,066.00	$21,984.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.20 / $1,868.54 / $3,997.53	Professional		$667.20	$1,868.54	$3,997.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,748.17 / $2,042.88 / $3,295.09	Facility		$1,748.17	$2,042.88	$3,295.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.22 / $2,076.12 / $2,809.86	Professional		$1,177.22	$2,076.12	$2,809.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $743.51 / $1,007.97 / $3,760.63	Facility		$743.51	$1,007.97	$3,760.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $779.43 / $2,429.00 / $7,700.00	Facility		$779.43	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.06 / $2,203.71 / $4,727.68	Professional		$800.06	$2,203.71	$4,727.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $551.95 / $1,533.20	Professional		$53.80	$551.95	$1,533.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $743.51 / $1,007.97 / $3,760.63	Facility		$743.51	$1,007.97	$3,760.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,388.40 / $2,136.00 / $2,711.07	Professional		$1,388.40	$2,136.00	$2,711.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,077.12 / $13,077.12 / $13,077.12	Facility		$13,077.12	$13,077.12	$13,077.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,204.01 / $3,331.05 / $7,761.84	Professional		$1,204.01	$3,331.05	$7,761.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.73 / $1,651.73 / $1,651.73	Professional		$1,651.73	$1,651.73	$1,651.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,581.19 / $4,051.78 / $4,051.78	Professional		$1,581.19	$4,051.78	$4,051.78
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 $800.06 / $2,203.71 / $2,977.96	Professional		$800.06	$2,203.71	$2,977.96