Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.33 / $1,552.01 / $14,482.00	Facility		$911.33	$1,552.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.49 / $911.33 / $2,667.83	Professional		$602.49	$911.33	$2,667.83
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 $744.64 / $2,087.27 / $4,467.26	Professional		$744.64	$2,087.27	$4,467.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,945.52 / $2,273.48 / $3,667.06	Facility		$1,945.52	$2,273.48	$3,667.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.58 / $2,312.83 / $3,124.94	Professional		$1,310.58	$2,312.83	$3,124.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.76 / $1,066.26 / $2,015.88	Facility		$758.76	$1,066.26	$2,015.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.81 / $2,184.00 / $7,700.00	Facility		$868.81	$2,184.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $894.72 / $2,463.78 / $5,283.27	Professional		$894.72	$2,463.78	$5,283.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $662.28 / $1,701.73	Professional		$63.30	$662.28	$1,701.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $758.76 / $1,066.26 / $2,015.88	Facility		$758.76	$1,066.26	$2,015.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,547.65 / $2,381.00 / $3,031.02	Professional		$1,547.65	$2,381.00	$3,031.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,587.84 / $14,587.84 / $14,587.84	Facility		$14,587.84	$14,587.84	$14,587.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,341.29 / $3,722.50 / $9,420.83	Professional		$1,341.29	$3,722.50	$9,420.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,843.25 / $1,843.25 / $1,843.25	Professional		$1,843.25	$1,843.25	$1,843.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.48 / $4,513.72 / $4,513.72	Professional		$1,934.48	$4,513.72	$4,513.72
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 $894.72 / $2,287.41 / $3,395.62	Professional		$894.72	$2,287.41	$3,395.62